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Published on: January 23, 2018
Medial malleolar stress fracture in an adolescent athlete
Travis J Menge1, Colin G Looney2
1Department of Orthopaedic Surgery, Vanderbilt University School of Medicine, Nashville, TN.
Abstract:
A stress fracture of the medial malleolus in adolescent athletes is a rare condition with poorly defined outcomes. Proper management requires early recognition, with treatment directed toward the athlete's safe return to their sport. Failure to assess and manage the fracture properly can result in significant complications, including fracture progression, delayed healing, nonunion, and chronic pain. We present the case of a medial malleolar stress fracture in a 14-year-old football player, who was successfully able to return to competition 4 weeks after surgical treatment. We have also provided a review of the published data regarding the management of these injuries and recommendations for returning athletes to competition.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

