An incision is made posteriorly of the lateral malleolus
and, after identification and protection of the sural nerve, capsulotomy is performed to find the os trigonum or hypertrophic posterior process, which is subsequently removed.
The tibial nerve was exposed at the level of bifurcation of the sciatic nerve and at its terminal division deep to the flexor retinaculum, between the medial malleolus
and medial process of calcaneal tuberosity.
This type of motion also carries the lateral malleolus
posteriorly, through reciprocal action the fibula head glides anteriorly and superiorly.
A 31-YEAR-OLD INCARCERATED MAN sought care for one crusted ulcer and one adjacent open ulcer with granulation tissue on his left malleolus
12] performed 16 procedures in 11 patients that included chronic synovitis (n = 2), screw removal from the medial malleolus
(n = 1), and posterior ankle anatomy (n = 2).
Blood vessels in this area are identified with the help of the sonanatomy, including the posterior tibial artery which runs posterior to the medial malleolus
, and two accompanying veins.
5%)] of the medial malleolus
fractures were fixed with TBW.
5 cm), lower extremity length was measured from the anterior superior iliac spine to the most prominent part of medial malleolus
He also complained of a warty slow growing lesion over the right lateral malleolus
for 1year, preceded by a penetrating injury.
These vessels typically are located in the posterior crural septum, starting at a point 5 cm above the tip of the lateral malleolus
and extending proximally for a distance of approximately 13 cm above the lateral malleolus
Lower limb length was measured with scaled tape from the anterior superior iliac spine to the lateral malleolus
age Time to Defect (years)/gender surgery (days) Location size (cm) 1, 25/M 9 Lateral malleolus
4 x 5 2, 32/F 3 Lower tibia 6 x 5 3, 26/M 7 Lateral malleolus
3 x 4 4, 19/M 34 Medial malleolus
5 x 3 5, 36/M 22 Middle tibia 8 x 5 6, 23/M 5 Lateral malleolus
5 x 3 7, 41/M 11 Lower tibia 4 x 3 Case no.