Briefly, a typical patient receives syndesmosis fixation via one or two screws, which is often accompanied by medial malleolus
fixation and/or fibula fixation.
(46) Using a tape measure from: the ASIS to lateral malleolus had a mean error of 6.0 +/- 16mm; the umbilicus to medial malleolus
had a mean error of 4.2+/-9.9mm; ASIS to medial malleolus
had a mean error of 7.3+/-10.1mm; and from xiphosternum to medial malleolus
had a mean error of 10.9+/-16.2 mm.
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.
Position the curved plate just proximal to the medial malleolus
, do not impact the leg into the table (14).
He had a lateral malleolar fracture with a vertical shear of the medial malleolus
and comminution at the joint line.
In his 'Remarks on Fractures and Dislocations' (1769) Pott gives a detailed account, with illustrations, of the fracture of the lateral malleolus of the fibula with dislocation of the ankle and fracture of the tip of the medial malleolus
of the tibia and states what is true today, that 'in its most simple state, unaccompanied by any wound, it is extremely troublesome to be put to right, still more to keep in order and, unless managed with address and skill, is frequently productive of both lameness and deformity'.
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).
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