Medial malleolus is the projection of tibia beyond ankle joint on inner side of leg. A similar projection of fibula on outer (lateral) aspect of the leg is called lateral malleolus.
Most of fractures of medial malleolus are caused by twisting injury to ankle. It my or may not be accompanied by the injury to lateral malleolus.
The xray in picture is of 27 years old male who fell after his ankle got twisted. He had a displaced fracture of medial malleolus and the fracture was fixed with two malleolar screw.
A displaced fracture of medial malleolus would almost always require reduction and fixation.
Undisplaced fractures can be treated by cast or splint.
Patient has been put on below knee cast and is allowed to walk with help of crutches without bearing weight on the affected limb.
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lateral malleolus fracture question…..
I broke my rt. ankle in Jan. 09….non-displaced fracture, no surgery….was in a boot then aircast, out of work for 4 months….and went to physical therapy. My problem is, to this day, my ankle is still swollen (mostly on the side and through the top – but occasionally on both sides), I limp every morning – and periodically throughout the day, still have pain (both sharp and dull), my foot cramps up – like a charlie horse, and I feel like I need to crack it, but it’s painful. Any advice? What is the problem?
Pls help!
Dr Arun Pal Singh Reply:
June 16th, 2010 at 11:04 am
@LB, There could be associated ligamentous injury. See your doctor again to rule out.
I broke my medial malleollus plus but I will concentrate on this bone. (if you are having alot of pain and stiffness and swelling then have the metal work removed)
This was the bone that I thought would not cause many problems but it is the bone that has caused the most problems.
I broke this bone on 29th May 2009 and had the operation five days later and had three different casts, that is not including the temp casts. I went on to have a boot but I found it difficult to use becsue of the screws from a different break, so I ended up not using the boot and my leg went purple, so I started physio, but the physip did help a bit but did not combat the pain that I was having with the stiffness etc. I put up with this for a year and then had the two screws removed and it was GREAT, THE SWELLING WAS REDUCED A GREAT DEAL, THE PAIN WAS REDUCED A GREAT DEAL AND THE STIFFNESS, WHICH WAS VERY BIG HAD NEARLY GONE. I felt like a new person, but there is still some stiffness and the odd pain and if you walk alot you will get swelling but this is alot better than it was, so I would recommend having your metal work taken out.
Love Jayne Sears
Dear L B
I am not a doctor but I think that you physio.