Medial Malleolar Fracture
What is it: A medial malleolar fracture is a fracture of the distal tibia.
How does it present: Patient usually have some traumatic event or twisting of ankle and may present with difficulty with weight bearing, medial ankle pain and swelling.
Common exam findings: Tenderness over the distal tibia and swelling and ecchymosis in this region. Difficulty with ambulating may be seen.
Tests and treatment: Ankle films are needed to confirm this diagnosis. An isolated medial malleolar fracture without significant displacement or joint space involvement ay be treated with splinting and casting for immobilization. Medial malleolar fractures associated with ankle instability, other ankle fractures, significant ligamentous injuries, significant displacement of the fracture or intra-articular involvement may require surgical intervention.