Does medial malleolus fracture need surgery?
Surgery. Most medial fractures require surgery even in minimal displaced fractures (in which there is 2 millimeters or more of separation of the fracture fragments). This is because the lining of the bone, called the periosteum, will fold into the fracture site at the time of injury, which won’t be seen on an X-ray.
Can you walk on a fractured medial malleolus?
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.
What is a medial malleolar fracture?
A medial malleolus fracture is a break in the tibia, at the inside of the lower leg. Fractures can occur at different levels of the medial malleolus.
What happens if you break your medial malleolus?
Fractures of the medial malleolus cause symptoms including: Pain on the inner side of the ankle. Swelling and bruising of the foot and ankle. Difficulty walking4.
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.
How do you treat medial malleolus pain?
Avoiding the activities that produce the pain or stress the bursa of the medial malleolus is the first line of treatment. Avoiding activities that produce pain or stress of the bursa of the medial malleolus and associated tendons (jumping, running, etc.) The use of ice to reduce inflammation and pain.
How long does it take a fractured malleolus to heal?
In some cases, though, surgery has to be performed to align the bone and hold it together with metal plates, rods, or screws. In general, it takes at least 6 weeks for the broken malleolus to heal.
What causes medial malleolus pain?
Tibialis posterior tendinosis, which is degeneration of the tibialis posterior tendon, and tibialis posterior tenosynovitis are the most common causes of pain behind the medial malleolus.
Will my ankle be the same after a fracture?
If it’s a low-to-medium grade ligament injury or a stable bone fracture, then it’s highly likely that the ankle will be similar to before. With more severe ligaments and unstable fractures, there is always some difference in flexibility and appearance.
How do you treat medial malleolus bursitis?
Treating ankle bursitis
- Ice and rest your ankle for the first few days after the start of symptoms to reduce inflammation.
- Take NSAIDs such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or prescription pain relievers.
- Wear roomy, comfortable shoes.
Does a fractured ankle need a cast?
Usually, ankle breaks are caused by falls, high-impact sports, car accidents, or injuries that place excessive force on the ankle. Treatment depends on the severity of the break. If you have a minor ankle break, you might get a walking boot, cast, or splint. If it’s serious, you might need surgery to realign the bone.
What is the most common ankle fracture?
Lateral malleolus fractures This is the most common ankle fracture, and it involves your fibula alone. This type of fracture is on the outside of your ankle, which is the area that’s under the most stress, whether you’re just walking or running and pivoting.
What does it mean when you break the medial malleolus?
When you break the inner bone of your ankle, it is called a medial malleolus ankle fracture. The medial malleolus is an anatomical region of the tibia bone, which is the larger of the two lower leg bones. You can feel this area as the bump on the inner side of your ankle joint. It bears 90% of the weight-bearing load, so this is a common fracture.
Can a medial malleolus fracture cause a broken ankle?
As stated, whenever a medial malleolus fracture is seen, there are concerns about other damage to the bone and ligaments that may cause a more complex ankle injury. Any patient with a medial malleolus fracture should be carefully examined to ensure there is no other fracture or ligament damage surrounding the joint.
What causes a non displaced medial malleolar fracture?
More precisely, according to the Lauge-Hansen classification system of ankle injuries this kind of fracture is mostly a result of a forced abduction or external rotation of the ankle, sustained in a pronated position.
When to have surgery for a lateral malleolus fracture?
After 6 weeks, the ankle may be protected by a removable brace as it continues to heal. Surgical treatment is often recommended because these fractures make the ankle unstable. Lateral and medial malleolus fractures are treated with the same surgical techniques as written above for each fracture listed.