Evidence-Based Sports Injury Care by Dr. Sean LeoSports Injury Specialist in Singapore

With over 25 years of experience, Dr. Sean Leo specialises in minimally invasive treatment of sports injuries and joint conditions. His expert care supports faster recovery, restored mobility, and a return to peak performance.

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Dr. Sean Leo

Orthopedic Surgeon Singapore

Fractures vs Sprains: Key Differences

Understanding Fractures vs Sprains with Dr. Sean Leo.

Accidents and injuries are common, especially when playing sports or engaging in physical activities. A common issue people face is a painful ankle injury that prevents weight-bearing and may be accompanied by swelling or bruising. It can sometimes be difficult to differentiate between a sprain and a fracture, but understanding the key differences can help ensure proper treatment and recovery.

What is a Sprain?

A sprain occurs when the ligaments, which are flexible bands of tissue that stabilize the joints, stretch or tear due to excessive force. Sprains usually happen when the joint is twisted or moved beyond its normal range of motion. They are common in the ankle, especially in sports involving sudden direction changes.

What is a Fracture?

A fracture refers to a break or crack in the bone, often resulting from high-impact forces or trauma. Unlike sprains, fractures involve bone injury, and the pain can range from mild to severe. Sometimes, fractures occur alongside sprains, complicating the diagnosis and treatment process.

Difference Between Sprains and Fractures

Identifying whether an injury is a sprain or a fracture can be tricky, but there are some key differences to look for:

  • Pain Location: Pain from a sprain is typically felt in the soft tissue (ligaments) around the joint, while pain from a fracture is focused on the bone itself.
  • Sound: A fracture might produce a “crack” or “snap” sound at the time of injury, while sprains usually do not make noise (though there might be a popping sound in severe cases).
  • Swelling and Deformity: Both injuries cause swelling, but fractures may cause the ankle to appear misshapen or out of alignment.
  • Tingling or Numbness: Tingling or numbness is more common in fractures, as the injury can impact nerves.

Despite these guidelines, symptoms can vary, so it’s essential to consult a medical professional for proper diagnosis and treatment.

Treatment for Sprains vs. Fractures

Treatment for Sprains
Sprains typically heal with conservative treatment. Rest, ice, compression, and elevation (RICE) can reduce swelling and promote healing. Pain relief, such as ibuprofen, is often recommended. Severe sprains may require physical therapy to regain mobility.

Treatment for Fractures
Fractures require prompt medical attention. Depending on the severity, treatment may involve realigning the bones (reduction), and in some cases, surgery may be necessary to ensure proper healing. It’s crucial to follow the doctor’s instructions to avoid complications and promote healing.

Final Thoughts

Differentiating between a sprain and a fracture is essential for proper treatment and recovery. Both injuries can cause significant pain and swelling, but understanding the key differences — such as the pain location, sound during injury, and visible deformity — can help guide you toward the right care. Whether you’re dealing with a sprain or a fracture, seeking prompt medical attention ensures the best chance for healing and returning to your normal activities.

Knee Injuries in Basketball & Football:
When to Seek Specialist Care

Dr. Sean Leo explains how proper techniques prevent sports injuries and why timely treatment is crucial for athletes' long-term joint health.

ACL Injury
Treatment and Recovery

Specialized Care by Dr. Sean Leo, Orthopaedic Knee & Sports Injury Specialist
  • Treatment Options
  • When Needed
  • Recovery Time
  • Success Rates
  • Surgery Costs

What are the treatment options for ACL injuries?

Surgical vs Non-surgical

For a complete ACL tear, surgical reconstruction using a graft is often the preferred treatment to restore knee stability and function. These grafts can be autografts (taken from your own body, typically from the patellar tendon, hamstring tendon, or quadriceps tendon) or allografts (from a donor). Dr. Sean Leo specializes in advanced ACL reconstruction techniques utilizing various graft options that promote optimal healing and recovery.

Non-surgical options, including bracing and physical therapy, may be considered for partial tears or less active individuals. The appropriate treatment plan depends on factors such as injury severity, activity level, age, and overall health.

A comprehensive assessment by an experienced orthopaedic knee specialist can determine the most suitable treatment approach and graft selection for your specific ACL injury.

When would you need ACL surgery?

Act Promptly for Better Outcomes

ACL tears typically do not heal on their own due to their position within the knee and the interference of synovial fluid, which fills the knee joint and hampers the natural healing process of the ligament.

For individuals with a complete ACL tear, especially those engaged in sports or active lifestyles, surgical intervention is often recommended. Factors that indicate surgery may be necessary include:

  • Complete ACL tear confirmed by MRI
  • Significant knee instability during daily activities
  • Desire to return to sports or demanding physical activities
  • Young age and active lifestyle
  • Multiple ligament injuries

Early consultation with a knee specialist allows for timely intervention and optimal recovery outcomes.

How long does it take to recover from ACL surgery?

What to Expect

ACL reconstruction recovery typically takes 6 to 9 months, with a full return to sports often requiring 9 to 12 months, depending on individual factors, sport type, and rehabilitation progress.

The recovery journey includes several phases:

Initial phase (0-2 weeks)
Pain management, swelling reduction, basic mobility.

Early rehabilitation (2-6 weeks)
Improving range of motion, beginning strength exercises.

Intermediate phase (6-12 weeks)
Progressive strengthening, improving balance.

Functional rehabilitation (3-6 months)
Functional treatment aims at getting you back to doing gentle physical activities eg. Brisk walk and jogging or cycling.

Advanced Rehabilitation (6-9 months)
Focusing on strength  and agility training incorporating  dynamic movements (eg. Jumps and quick direction changes like running around cones).

Return to Sports (9-12 months)
To engage in sports specific drills which condition the body as a whole for gradual return to full sports participation. Eg. Dribbling drills for soccer, footwork drills for courtgames like badminton or tennis.

How successful is ACL surgery?

Evidence-Based Outcomes

ACL reconstruction surgery is generally successful, with reported success rates of 80% to 90%. Modern surgical techniques have significantly improved outcomes for patients undergoing ACL reconstruction.

Key success indicators include:

  • Restoration of knee stability
  • Return to pre-injury activity levels
  • Prevention of further knee damage
  • Improvement in quality of life

As with any surgical procedure, there is a possibility of complications, and some patients may require revision procedures. Factors affecting success include surgical technique, graft choice, patient compliance with rehabilitation, and individual healing capacity.

Regular follow-up with your orthopaedic surgeon throughout recovery helps ensure optimal outcomes.

How much does ACL surgery cost?

Financial Considerations

The cost of procedure varies based on the complexity of the surgery to be performed and individual insurance panel specifications. These will be discussed with you by Dr Sean’s clinic staff after the consultation should you with to proceed with surgery. The clinic staff are experienced in assisting with applications for letter of guarantees from various insurance panels and corporate insurance panels.

Cost factors include:

  • Surgical technique and complexity
  • Type of graft used
  • Hospital or day surgery center fees
  • Anaesthesia services
  • Pre-operative assessments
  • Post-operative rehabilitation

Patients should consider checking insurance coverage for ACL reconstruction surgery. Many insurance plans provide coverage for this procedure when medically necessary.

Financial counseling services are available to discuss payment options and potential insurance coverage for your specific situation.

Take the First Step Towards Recovery

Dr. Sean Leo, orthopedic surgeon in Singapore, provides comprehensive assessment and personalized treatment plans for ACL injuries and knee conditions.