Orthopaedics

Medial Malleolus Fracture

The

medial malleolus fracture

is a fracture of the medial malleolus. Now, wondering what the medial malleolus is? That would take a little explanation from my side and a little more time from your side. Our lower leg consists of two long bones, viz. tibia and fibula. Towards the tibia’s lower extremity there is a bony prominence on the ankle’s side which we call the medial malleolus. Aversion forces that lead to an ankle sprain, lower leg fractures, foot fractures etc. are what are known to cause a

medial malleolus fracture

.

What are the Causes of a Medial Malleolus Fracture?:

The following reasons can be a reason for the medial malleolus to break-

  • awkward landing after a jump
  • rolling the ankle
  • direct blow to the ankle’s inner aspect

People who are into sports or athletics that involve jumping and running like football, basketball, rugby soccer etc. are vulnerable to fracturing their medial malleolus as these sports involve a lot of direction changes in the foot while playing. Athletes who train a lot by running are also vulnerable, as they are overusing their ankles.

All the above mentioned factors apply a traumatic force on the tibia and can break and fracture the medial malleolus once the force cannot be withstood.

Signs and Symptoms:

As soon as they fracture this bony prominence, people feel a sharp pain either on the ankle’s inner side or in the lower leg. The resultant of the pain is a limp, as the athlete would try to protect his/her injured malleolus.

  • The pain would subside with proper rest only to return before going to bed or after waking up in the morning.
  • When the injured site is touched firmly, one can observe swelling and bruising along with pain.
  • Pain tends to increase while walking or standing, sometimes even while trying to do so.
  • If the fracture displaces the medial malleolus out of its place, then a deformity can be observed in the foot.

Treatment:

If there is no kind of displacement involved in the

medial malleolus fracture

, the use of crutches, casts or protective boots that immobilize the injured foot are enough for the fracture to heal. In case there is a displacement involved, the bone would have to be re-aligned and fixed with the help of screws and plates; this technique is called anatomical reduction.

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