Given the intensity of professional football, these fractures may be more common in the NFL but are also likely problematic across all levels of football and other sports. Distal fibula fractures were chosen to evaluate because they are the most frequently encountered fractures of all ankle fractures and are specifically coded in the NFL injury database. There is a lack of literature specifically evaluating distal fibula fractures, which are among the most common ankle fractures encountered, in athletes. 15 This study was limited in its scope and applicability because of its use of publicly available data rather than NFL data, inclusion of only operative ankle fractures, and combination of varying fracture patterns. 7, 16 A recent study utilizing public data to determine RTS rates after common surgical procedures in NFL athletes reported that 78.6% of players who underwent surgical fixation of ankle fractures eventually returned to play. 10, 11 Return to sport (RTS) after an ankle fracture has been described in smaller studies for numerous sports and depends on several factors, including whether surgical fixation is required. 11 Most existing studies of ankle injuries in active NFL athletes combine fractures with ankle sprains and other ankle injuries, making it difficult to specifically evaluate ankle fractures in this population. 3 In NFL athletes, ankle injuries represent the second most common injury. ![]() 1 Ankle fractures comprise 7% of all sport-related fractures, 6 and ankle fracture surgery is one of the most common surgical procedures reported among participants at the National Football League (NFL) Scouting Combine. Foot and ankle injuries are common among competitive athletes.
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