Sprained Ankle Making Crunching Sounds

Sprained Ankle Making Crunching Sounds

Ankle sprains occur when abnormal forces are sustained at the ankle joint. Eighty-five percent of all ankle sprains involve the lateral (outside) ankle ligaments in which the foot turns inward, rolling over on its outer edge [10]. This is known as an inversion injury. The opposing eversion injury is less likely due to inherent stability by the skeletal structure of the foot and the more robust deltoid ligaments.

Patients with a lateral ankle sprain may recall hearing a “popping” noise at the time of injury. A tearing sensation accompanied by a sound similar to that of crunching celery is also commonly described. Egg-shaped swelling and bruising along the outside of the ankle and foot are common, along with guarding (protecting) of the injured part. Pain is an almost certainty.

Mild injuries, those commonly associated with incomplete sprains (incomplete tears within the ligament) or single ligament injury, may still allow for weight bearing on the affected limb—albeit with a significant limp. More severe injuries, those with multiple ligament involvement or complete ligament rupture, are associated with increased instability that may preclude weight bearing on the affected extremity.

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