Sprained vs. Broken Ankle: Distinct Injuries

Sprain = ligament injury (stretch/tear). Fracture = bone break. They are different tissues; one does not "turn into" the other.

• Can have both simultaneously (e.g., lateral malleolus fracture + ATFL tear).
• Severe sprain may avulse bone fragment (avulsion fracture).
• Ottawa Ankle Rules guide need for X-ray.

Clinical distinction: fracture = bony tenderness at specific points, inability to bear weight. Imaging confirms.