Stress Fracture of the Medial Malleolus.

Ariyoshi, Mamoru; Nagata, Kensei; Hiraoka, Koji; Sonoda, Kyosuke; Hori, Reiko; Inoue, Akio

doi:10.2739/kurumemedj.44.233

Cited by 5 publications

(1 citation statement)

References 5 publications

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“…The radiological appearance is characterized by a vertically oriented fissure originating from the tibial plafond and medial malleolus junction or an obliquely arched radiolucent line through the medial malleolus; however, routine radiographs often appear normal at initial presentation. Therefore, for patients with clinical features suggestive of this stress fracture, bone scan or MRI may be considered for early diagnosis [5–7]. …”

Section: Introductionmentioning

confidence: 99%

Double Threaded Screw Fixation for Bilateral Stress Fracture of the Medial Malleolus

Kanto

Fukunishi

Morooka

et al. 2014

Case Reports in Orthopedics

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An 18-year-old college basketball player presented with continued ankle pain. A radiographic examination showed bilateral medial malleolus stress fractures. Considering the prolonged history and refractory nature of this injury, surgery was adopted as a treatment option. At surgery, the fracture site was percutaneously fixed using two cannulated double threaded screws. Surgery for each side was sequentially performed two months apart. Prompt bony healing was attained after surgery, and the patient could return to his previous sports level six months after the first surgery without subsequent recurrence.

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Section: Introductionmentioning

confidence: 99%

Double Threaded Screw Fixation for Bilateral Stress Fracture of the Medial Malleolus

Kanto

Fukunishi

Morooka

et al. 2014

Case Reports in Orthopedics

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Medial Malleolar Stress Fracture in an Adolescent Athlete

Menge

Looney²

2015

The Journal of Foot and Ankle Surgery

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Medial Malleolar Stress Fracture Treatment and Return to Activity: A Systematic Review

Touhey,

Beady,

Tartibi

et al. 2024

Foot & Ankle Orthopaedics

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Background: Medial malleolar stress fractures (MMSFs) naturally appear to occur primarily in athletes participating in sports requiring prolonged running or repetitive jumping. Nonoperative and operative modalities have been described, yielding a wide range of outcomes and return to activity (RTA) rates. Hypothesis/purpose: To systematically review the current literature to identify reports of MMSFs to better understand the current state of treatment, outcomes, and RTA rate. Methods: Studies published in PubMed, Embase, and the Cochrane Library reporting on patients sustaining MMSF from inception to October 2024 were identified. Human subjects, articles published in English, and studies reporting treatment (operative vs nonoperative), outcomes, RTA rates, and the incidence of any complications, were included. Results: Seventeen studies were identified, consisting of 68 patients, with 74% (n = 50/68) of patients being male. Weighted mean patient age was 26.1 (range, 9-73) years. Overuse injury mechanisms during sporting activities accounted for 94% (n = 64/68) of injuries, with soccer being the most commonly reported athletic activity (n = 18). Initial operative management was reported in 44% (n = 30/68) of patients at a weighted mean of 10.1 weeks from symptom onset, with an additional 14 patients undergoing operative treatment following a weighted mean 16.8-week trial of nonoperative management. Complications following treatment were reported in 4 (n = 4/30) patients treated initially with surgery and 2 (n = 2/38) patients initially treated nonoperatively. A total of 98% (n = 57/58) of patients reported successful return to preinjury activity levels at a weighted mean of 3.4 months. Conclusion: Medial malleolar stress fractures are reported to occur primarily in younger, adult patients, commonly as a result of overuse, especially in individuals participating in soccer. Operative management was performed in 65% (n = 44/68) of overall cases with a low rate of complication and a high rate of successful RTA following nonoperative and operative management.

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Stress Fracture of the Medial Malleolus.

Abstract: It is difficult to assess the healing of the medial malleolar stress fracture. We describe a case of medial malleolar stress fracture which was monitored its healing with repeated magnetic resonance images .

Cited by 5 publications

References 5 publications

Double Threaded Screw Fixation for Bilateral Stress Fracture of the Medial Malleolus

Double Threaded Screw Fixation for Bilateral Stress Fracture of the Medial Malleolus

Medial Malleolar Stress Fracture in an Adolescent Athlete

Medial Malleolar Stress Fracture Treatment and Return to Activity: A Systematic Review

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