However, with medial malleolus
fractures, achieving rigid fixation of both the medial and lateral malleoli may circumvent the need for syndesmosis fixation.
The most common modality of fixation for the lateral malleolus was 1/3rd tubular plate, and for the medial malleolus
was with 4 mm cannulated cancellous screws with washers.
Further examination found no evidence of inflammation and only "slight" tenderness at the tibialis posterior tendon just posterior to the medial malleolus
Pain over the medial malleolus
was observed in three patients (20%), which were attributed to the plate-bone mismatch.
There was a 3x2 cm swelling over medial malleolus
and posterior malleolus.
Another significant finding of our case is, it has displaced medial part of the lower tibial epiphysis causing huge gap between the medial malleolus
and talus, which was not reported in any of the literature we have reviewed, but still the patient is asymptomatic with full range of ankle movements.
was fixed back in position with 2K--wires.
Undisplaced fracture of medial malleolus
in patients with high functional demands.
CASE REPORT: A 34 year old married nulliparous female came with recurrent ulcers on lower limb, the recurrent ulcers were seen on bony prominences like medial malleolus
, she was operated for cataract of both the eyes 10 years back, depigmentation was present on in B/L elbows and extensor surface of arm, around the waist area, she had sparse grey hair on the scalp, absence of axillary and pubic hair, the face appeared aged, with beaked nose, loss of subcutaneous fat and the patient appeared old.
We present our experience with 20 patients who were treated successfully without major complications, using the distally based peroneus brevis muscle flap for the coverage of soft and bony tissue defects over the lower one third of leg, the Achilles tendon, and the lateral and medial malleolus
X ray examination shows transverse fracture of medial malleolus
and external rotation of the malleolar fragment (Pic 1).
CASE REPORT: A 17 yr male presented in our hospital in November 2011 with pain and swelling in right medial malleolus
since 3 months.