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Journal of the American Podiatric Medical Association
Volume 93 Number 4 292-297 2003
Copyright © 2003 American Podiatric Medical Association

Medial Malleolar Stress Fractures

Literature Review, Diagnosis, and Treatment

Alex Kor, DPM, MS*, Andrew T. Saltzman, MD{dagger} and Patrick D. Wempe, PT, SCS, CSCS{ddagger}

* Kaiser Permanente, Temple Hills, MD.
{dagger} Tri-State Orthopedics, Evansville, IN.
{ddagger} Pro Rehab, PC, Evansville, IN.

Corresponding author: Alex Kor, DPM, MS, Kaiser Permanente, Camp Springs Medical Center, 6104 Old Branch Ave, Temple Hills, MD 20748-2557.

Abstract

Medial malleolar stress fractures are relatively uncommon injuries that can be quite debilitating and disabling. This article discusses the symptoms, diagnostic aids, pathomechanics, and management of medial malleolar stress fractures. Using three cases, the authors illustrate nonoperative versus operative treatments in an athlete and the influence of an in-season versus an off-season injury. A percutaneous cannulated screw fixation procedure is described that allowed an athlete to return to competition 24 days after sustaining a displaced medial malleolar stress fracture. (J Am Podiatr Med Assoc 93(4): 292-297, 2003)






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Copyright © 2003 by the American Podiatric Medical Association.