Miami Herald (Sunday)

Ankle injuries from basketball may require surgery or casts and extensive rehab to heal

- BY HARLAN SELESNICK, M.D. Special to the Miami Herald

months.

If I had surgery, would I be more likely to heal normally and return to basketball sooner?

A: There are many different types of ankle fractures that are determined by the force of the injury and the method of twisting and contact.

When making a decision on whether surgery is necessary, the doctor will determine if the bones and ankle joint are properly lined up.

If surgery is not recommende­d, the physician would decide what style of cast and weight-bearing status would be needed so not to allow the bony alignment to shift out of place.

The fracture heals at the same rate whether it heals by itself without surgery, with a rod insertion or has a metal plate and screws inserted to maintain alignment. Thus, it is unlikely that you would be able to return to sports any sooner with surgery, although surgery may allow rehab to begin sooner.

I recommend you discuss your concerns with your doctor.

Dr. Harlan Selesnick is team physician of the Miami Heat and director of Miami Sports Medicine Fellowship, Doctors Hospital. Send your questions to HarlanS@baptisthea­lth.net

 ?? Robert Willett/rwillett@newsobserv­er.com ?? Ankle injuries are common in basketball and may require surgery.
Robert Willett/rwillett@newsobserv­er.com Ankle injuries are common in basketball and may require surgery.

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