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Broken ankle - poor bone density?

(6 Posts)
flutterby77 Fri 03-Feb-17 21:21:05

I started to experience pain about a month ago but GP and physio reassured me it was a tendon injury as I was able to walk on it and we've been treating it like that. Fast forward 4 weeks and I went for an ultrasound to check on the tendons only to be told I have a break in my fibula. I have no recollection of doing anything which could break my ankle. I've also been walking on it (albeit hobbling) for a month. I've now been referred to the fracture clinic for review as it has started healing so we're not sure if the best course of action. I've also been referred for a dexa scan to understand why my ankle fractured without any trauma. I was on fairly long courses of prednisolone when I was younger due to ulcerative colitis. I had a dexa about 12 years ago because of that risk which was fine. I've also had two pregnancies, one a twin pregnancy when I took ostelin due to low vitamin d levels. I'm now nearly 40, is it possible I have osteoporosis to the extent I can fracture a bone like this. Has anyone else experienced something like this? Photo of fracture attached.

PacificDogwod Fri 03-Feb-17 21:25:24

Yes, it is possible.

Undisplayed fibula fractures often get away with being treated as a soft tissue injury (disclaimer: I am not an expert. Glad to see you have a fracture clinic appointment lined up).

You may have simply gone over your ankle and done this.

I think it would be wise to repeat your DEXA scan.

PacificDogwod Fri 03-Feb-17 21:25:40

Oh, and you posted this twice btw smile

flutterby77 Fri 03-Feb-17 21:32:25

Not sure how that happened! Thanks for the reply. I've seen two different GPs and a physio and not one of them told me it could be a break. The GP told me to treat it with normal overcthe counter nurofen. In a way it's good it's a break as I was getting very depressed that the tendon injury was not improving. At least this will heal.

PacificDogwod Fri 03-Feb-17 21:37:29

Yes, bad sprains and simple breaks can 'look' clinically very similar.

And you are right, a simple break often heals quicker than a bad sprain.

Bettertobehealthy Mon 06-Feb-17 18:55:16

Hi flutterby

you are of course right , that low Vit d can prompt secondary hyperparathyroidism, which could lead to weak bones in the long term.

from what you have said , ( previous low Vit d ) it makes a great deal of sense for you to check .

In the first instance , perhaps you could have a look at this thread

You can get a quick , paid for Vit D check from here , It is the NHS path lab at Sandwell , City Hospital. Results emailed back to you within a week. It does cost £28 unfortunately. Maybe your doc. will order a free one for you , sometimes they are reluctant , because so many people come back low.

best of luck.


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