What is it?
A high-ankle sprain is an injury to the ligaments that hold the two lower leg bones (tibia and fibula) together just above the ankle. It is less common than an ordinary sprain but usually takes longer to recover.
What causes it?
- The foot being forced to twist outwards, often in contact sports such as football and rugby.
- It can happen together with an ankle fracture.
Common symptoms
- Pain above the ankle, at the front, between the two leg bones.
- Pain when twisting or pushing off.
- Swelling and difficulty taking weight on the leg.
How is it diagnosed?
Your surgeon will use specific examination tests and X-rays taken while standing. An MRI or CT scan helps show whether the joint is stable.
Things you can do now
- Protect the ankle and avoid twisting or pivoting until it has been assessed
- Use ice, elevation and simple pain relief in the first few days
- Follow a structured, gradual return to sport
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include a protective boot with a period of protected weight bearing, physiotherapy and a structured return to sport and surgery to stabilise the joint if it is unstable.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Pain is above the ankle rather than on the outside, especially after a twisting injury
- You can't walk normally after a sprain
- You can't put weight on the foot after an injury, or it looks out of shape: go to A&E or an urgent treatment centre
What to expect
High-ankle sprains take longer to recover than ordinary sprains. Stable injuries heal in a boot, while unstable injuries are best fixed early to protect the joint.
Common questions
Where can I see a specialist about high-ankle sprain (syndesmosis injury) in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with high-ankle sprain (syndesmosis injury) at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.