Have you ever had a sprained ankle? Then you can probably imagine the pain this patient went through after having his ankle dislocated! . In an ankle dislocation, the normal bony alignment is disrupted, with the talus bone completely out of alignment with the lower leg bones, the tibia and fibula. . This is a very dramatic injury, often combined with a bone fracture. In an ankle sprain, the normal bony alignment is maintained but the supporting structures called ligaments are stretched or torn. Ankle sprains are common, dislocations are fairly uncommon and an ankle dislocation without a broken bone is very rare. . The typical sequence of events in an ankle dislocation would usually involve an urgent trip to the emergency room for x-rays, and then a physician will “reduce” the ankle. This means they will set the alignment back to normal. Surgery is often needed. After setting the dislocated ankle back in place there will be a period of immobilization in a cast or boot that lasts several weeks. This is followed by gradual increases in weight bearing, motion, and strength. . . TAG a friend who recently had an ankle sprain and don't forget to FOLLOW us @medicalpedia for more extreme cases!