Stress Fractures of the Medial Malleolus—Review of the Literature and Report of a 15-Year-Old Elite Gymnast

Stress fracture of the medial malleolus is rare and not reported in children. We report a case of a 15-year-old elite gymnast with open physes sustaining a medial malleolar stress fracture. The patient was treated initially by rest and gradually returned to sport with full recovery. Two months later...

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Bibliographic Details
Published in:Foot & ankle international 2002-07, Vol.23 (7), p.647-650
Main Authors: Shabat, S., Sampson, K.B., Mann, G., Gepstein, R., Eliakim, A., Shenkman, Z., Nyska, M.
Format: Article
Language:English
Subjects:
Adolescent
Ankle Injuries - complications
Ankle Injuries - therapy
Athletic Injuries - complications
Athletic Injuries - therapy
Fractures, Bone - etiology
Fractures, Stress - complications
Fractures, Stress - therapy
Gymnastics - injuries
Humans
Tibia - injuries
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Summary:Stress fracture of the medial malleolus is rare and not reported in children. We report a case of a 15-year-old elite gymnast with open physes sustaining a medial malleolar stress fracture. The patient was treated initially by rest and gradually returned to sport with full recovery. Two months later she developed a complete fracture of the medial malleolus of the same side. This was treated surgically by open reduction and internal fixation with a cancellous screw and soon after the operation she returned to full activities. Emphasis is given to the suspected mechanism which led to this unique fracture and to the hormonal aspects in the professional adolescent gymnast. We recommend surgical treatment of stress fracture of the medial malleolus especially for elite athletes, leading to early recovery and return to sports activities.
ISSN:1071-1007
1944-7876
DOI:10.1177/107110070202300711