Case Reports
Bilateral Fractures of the Medial Malleoli Without a History of Trauma
Am J Orthop. 2009 May;38(5):237-240
Author and Disclosure Information
Christopher A. Looze, BS, Brian Golden, MD, and Kenneth A. Egol, MD
Mr. Looze is Medical Student, Department of Orthopaedic Surgery, New York University School of Medicine, New York, New York.
Dr. Golden is Assistant Professor of Rheumatology, Department of Rheumatology, and Dr. Egol is Associate Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery, New York University Hospital of Joint Diseases, New York, New York.
Abstract not available. Introduction provided instead.
We report the case of a woman in her late 60s with bilateral fractures of the medial malleolus that progressed to an unstable ankle mortise on one side. Fractures of the medial malleolus without a history of trauma are uncommon injuries, with most described cases occurring in elderly populations. Many stress or insufficiency fractures about the ankle have been described in case reports, but none has presented in our case’s unique manner, with simultaneous bilateral injuries or progression to an unstable mortise.