13,14) A CT scan was obtained in this case to fully appreciate the characteristics of the talar body fracture and to assess the amount of distal tibia articular impaction at the site of the medial malleolus fracture.
The talus fracture was fixed first through a medial approach taking advantage of the fractured medial malleolus to allow for improved exposure of the talar body.
Based on our case report, the mechanism for associated ankle and talar body fractures involves the adduction force of the supinated foot, which causes a shear fracture of the medial malleolus followed by an axial load on the dome of the talus.
This paper will review the anatomy around the medial malleolus, its role and contribution to ankle stability, surgical and nonsurgical treatment options, its various presentations in ankle fractures, and current recommendations for fixation.
When discussing the anatomy and function of the medial malleolus, it is important to understand its close interrelationship to the deltoid ligament which originates from its anterior and inferior aspects.
This review focuses on syndesmosis injuries that occur associated with fibula fractures, with and without medial malleolus fractures.
The external rotation force begins on the medial side with an injury to the deltoid ligament or a medial malleolus fracture.
Also, 2 years before his presentation in the emergency room, he had sustained an open fracture of his left talar neck (Hawkins Type II) and medial malleolus
when a 1,000-lb bale of hay fell onto his left ankle.
75 cm 25-gauge needle may be inserted and advanced towards the medial malleolus
The grid is applied to the skin on the medial cutaneous face of the distal tibia, above the tip of the medial malleolus
, by means of disposable adhesive sterile strips attached to its edges (Fig.
This involves making an oblique osteotomy where the medial malleolus joins the tibial plafond.
One technique to overcome this obstacle is to use a transmalleolar technique in which the K-wire is drilled through the medial malleolus.