Medial malleolus stress fracture

The medial malleolus is a bony prominence on the interior side of the ankle. A stress fracture on this area can occur in some individuals but it is considered rare.

What are the indications?

The indications of a medial malleolus stress fracture include:

  • Pain on the interior of the ankle that is aggravated by jumping or running activities
  • Specific or localized spot of tenderness over the medial malleolus or bony prominence on the interior side of the ankle.
  • Swelling might manifest but not in all cases

In case a stress fracture is in the initial stages, it might not be detected on an X-ray but a CT scan, bone scan or MRI can establish a diagnosis.

Management of a medial malleolus stress fracture

Medial malleolus stress fracture

Pain on the interior of the ankle that is aggravated by jumping or running activities

The treatment for a medial malleolus stress fracture usually include the following:

  • Adequate rest or taking a break from any activities involving weight bearing for around 6 weeks.
  • An ankle support or brace can be used to provide protection and support to the joint.
  • Once the injury progressed to a complete fracture, surgery is usually an option.
  • After a period of rest, strengthening of the ankle and proprioception exercises must be started to restore full strength and coordination to the ankle to prevent injuries in the future.

Remember that it is vital to pinpoint the exact cause of the medial malleolus stress fracture in the first place. There are instances where it might be due to overtraining, poor foot biomechanics or poor technique while playing sports.

A sports injury professional or podiatrist might prescribe orthotic inserts to correct or fix any biomechanical issues of the foot. Additionally, specialist sports coaches must be consulted if potential training errors are suspected to be contributing factors to the injury.

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