Fractures usually involve some form of trauma. A large force will be applied to the area at speed. This can occur during car accidents or following a fall. It can also occur following a tackle or collision during sport or after an awkward landing. The ankle and foot will swell within a few hours and fracture patients are often unable to weight bear through the affected limb.

The pain is usually sharp and the site is acutely tender to touch. Imaging is very important to discover the extent of the damage and thus the best treatment programme to follow. Physiotherapy is essential to ensure the bone heals and range of movement and strength is restored to the joint to enable return to all desired activities.