The duplication began from its origin near medial malleolus
till the knee joint where it was joined by a tributary and later in the lower one-third of the thigh it branched like a mesh and formed three trunks which ascended in the thigh and in the upper one-third of the thigh two trunks joined to form anterior accessory saphenous vein and great saphenous vein proper, which emptied into the femoral vein by piercing the cribriform fascia.
Posttraumatic and postsurgical complaints of pain at the posterior margin of the medial malleolus
often pose a diagnostic and therapeutic challenge.
There are reports of the saphenous nerve extending deep down to the periostium of the distal tibia, the medial malleolus
capsule in the ankle joint and, in some cases, to the capsule of the talocalcaneon-avicular joint medially.
0 +/- 16mm; the umbilicus to medial malleolus
had a mean error of 4.
KEY WORDS: Medial malleolus
, Tibia, Tomography, X-ray computed, Imaging, three-dimensional.
The classic description of a supination-adduction injury is a vertical split fracture of the medial malleolus
with a fracture below the level of the syndesmosis.
A tape measure was used to quantify the distance from the anterior superior iliac spine to the center of the ipsilateral medial malleolus
In the left leg, two ulcers with the same characteristics were present over the medial malleolus
and the dorsal aspect of the foot (Figure 1B).
TABLE 1 Ottawa ankle and foot rules (2-4) Ankle X-rays are required only if the patient has pain near the malleolus and one or more of the following: * Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus
* Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus * Inability to bear weight for 4 steps, both immediately after the injury and in the emergency department Foot X-rays are required only if the patient has pain in the midfoot and one or more of the following: * Bone tenderness at the base of the fifth metatarsal * Bone tenderness at the navicular bone * Inability to bear weight for 4 steps, both immediately after the injury and in the emergency department TABLE 2 Ankle sprain?
The standard knee-attachment device was secured to the leg so that the inferior border of the pad was placed on the superior border of the medial malleolus
Take your stethoscope and listen over the medial malleolus
, the distal tibia.
1), (10) Indications for * Pain in the malleolar zone, and radiographs of the ankle after acute injury * One of the following: * bone tenderness at the posterior edge or tip of the lateral malleolus * bone tenderness on the posterior edge or tip of the medial malleolus
* inability to bear weight for 4 steps, both immediately after injury and at the clinical assessment Indications for * Pain in the midfoot zone, and radiographs of the foot after acute injury * One of the following: * bone tenderness at the base of the 5th metatarsal * bone tenderness of the medial midfoot (navicular) * inability to bear weight for 4 steps, both immediately after injury and at the clinical assessment