What is medial Malleolar?
What is a medial malleolus fracture? You probably know the medial malleolus as the bump that protrudes on the inner side of your ankle. It’s actually not a separate bone, but the end of your larger leg bone — the tibia, or shinbone. The medial malleolus is the largest of the three bone segments that form your ankle.
Can you live with a nonunion fracture?
Most fractured bones in adults heal within 3-6 months. A nonunion, is when a bone has not healed within 6-9 months. The healing process at this point has stopped and further progress is unlikely. In these cases, something must be changed in order to restart the healing process.
What is the purpose of the medial malleolus?
The medial malleolus and the associated deltoid ligament provide for ankle stability on the medial side.
Can you walk on a medial malleolus fracture?
You may walk on the foot as comfort allows although you will find it easier to walk with crutches in the early stages. The swelling is often worse at the end of the day and elevating it will help. The boot you have been given is for your comfort only and is not needed to aid fracture healing.
Can a medial malleolus fracture heal without surgery?
A Word From Verywell Not all medial malleolar fractures require surgery. The bone will heal with or without surgery in around six to eight weeks.
Which tarsal is most medial?
Markings of the seven tarsal bones (tarsals):
- Medial (1st) cuneiform (L., cuneus, wedge + forma, shape) – most medial of the 3 cuneiform bones. It’s located anterior to the navicular bone.
- Middle (2nd) cuneiform – middle of the 3 cuneiform bones.
- Lateral (3rd) cuneiform – most lateral of the 3 cuneiform bones.
Can a nonunion be fixed?
Some nonunions can be treated nonsurgically. The most common nonsurgical treatment is a bone stimulator. This small device delivers ultrasonic or pulsed electromagnetic waves that stimulate healing The patient places the stimulator on the skin over the nonunion from 20 minutes to several hours daily.
Will a non-union eventually heal?
When a fractured (broken) bone does not heal, it is referred to as a “nonunion” fracture. Although most fractures eventually heal, either by themselves or with surgery, approximately 5 percent do not heal, or have difficulty doing so (referred to as a “delayed union”).
How do you treat a medial malleolus fracture?
In general, most doctors recommend surgery for fractures that can affect the stability or the alignment of the joint. For fractures that are not well-positioned, a surgical procedure to line up and stabilize the bone is often recommended.
How serious is a medial malleolus fracture?
Comminuted fractures of the medial malleolus are generally high-energy injuries that break the bone into multiple pieces. Comminuted medial malleolus fractures can be technically challenging injuries to treat given the limited surface area by which a surgeon can reconstruct the bone fragments.
Which phalange of the foot does not have an intermediate Phalange?
The proximal phalanges join with the metacarpals of the hand or metatarsals of the foot at the metacarpophalangeal joint or metatarsophalangeal joint. The intermediate phalanx is not only intermediate in location, but usually also in size. The thumb and large toe do not possess a middle phalanx.
What tarsal bone is the insertion site of Achilles tendon?
Calcaneus. The largest of the tarsal bones, the calcaneus is cuboidal with an anteriorly directed long axis. The bulbous posterior process bears the attachment of the Achilles tendon.
Are there any non-operative cases of medial malleolus?
Four cases (8%) of medial malleolar radiographic non-union occurred in the non-operative group, although none of the patients were symptomatic and did not require further treatment. This study was limited by the lack of baseline patient-reported outcome scores and the small sample size.
What are the symptoms of a medial malleolus fracture?
Symptoms of a medial malleolus fracture can include: Your doctor will diagnose your ankle by physical examination and manipulation of the ankle, possibly followed by X-rays. There’s some controversy over whether X-rays are needed to determine if the ankle injury is indeed a fracture.
When to fix a malleolar fracture in a trimalleolar fracture?
In the case of a trimalleolar fracture with an associated posterior malleolar fracture, fracture fixation will be at the discretion of the operating surgeon and influenced by the size of the fragment, articular congruity and presence of posterior talar subluxation.
When does randomisation of the medial malleolus occur?
Randomisation will occur intra-operatively when the medial malleolus fracture is deemed ‘well-reduced’, with 2 mm or less of fluoroscopic displacement. The technique for fixation of both the medial and lateral malleoli is at the discretion of the operating surgeon.