Most of the time, a sprained ankle doesn't need an x-ray. A sprained ankle is usually easy to figure out by looking at it and thinking about how it feels. But if there is a chance of a break, an x-ray may be done to ensure there isn't a break. Different Types Of Ankle Fractures Ankle fractures come in a few different forms, such as: Avulsion fractures happen when a tendon or ligament ...