I twisted my ankle. Is it a sprain or a break?

Hello,

To know if there is a possibility of a fracture (break) in the ankle, according to the Ottawa rule for ankles, there must be pain on palpation (touch) of the 2 malleoli (balls on each side of the ankle) AND an inability to walk a few steps at the time of the trauma to the ankle

If you have all the criteria, I would recommend an x-ray to rule out a fracture.

Does this answer your question?