Bilateral medial malleolar fractures in a young athlete: the role of biomechanics in non-contact injuries
Abstract Medial malleolar fractures are relatively uncommon, typically resulting from significant trauma or high-impact events. The likelihood of sustaining such fractures in both ankles independently, particularly in non-contact situations, is exceedingly rare. This case study presents a unique sce...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-01-01
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| Series: | Bulletin of Faculty of Physical Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43161-025-00264-4 |
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| Summary: | Abstract Medial malleolar fractures are relatively uncommon, typically resulting from significant trauma or high-impact events. The likelihood of sustaining such fractures in both ankles independently, particularly in non-contact situations, is exceedingly rare. This case study presents a unique scenario involving a patient who suffered medial malleolar fractures in both the left and right ankles under separate, non-contact mechanisms of injury. Both injuries were managed through a combination of immobilization and physical therapy, with the right ankle requiring surgical intervention initially. Given the rarity of bilateral medial malleolar fractures in non-contact events, this case raises questions about potential underlying biomechanical factors contributing to the injuries. Upon further examination, the patient was found to have genu varus, a condition characterized by an inward angulation of the lower leg, which shifts the weight-bearing axis medially, and hindfoot valgus, a condition characterized by outward angulation of the Achilles tendon near the calcaneus. This malalignment can increase the stress on the medial aspect of the ankle during weight-bearing activities, potentially predisposing the individual to fractures in the medial malleolus. This case study explores the biomechanical relationship between genu varus and medial malleolar fractures, highlighting how the altered forces in the ankle joint may increase the risk of injury. The discussion will delve into the potential for genu varus and hindfoot valgus to act as a predisposing factor in the occurrence of such fractures, particularly in the absence of significant external trauma. Understanding this relationship could lead to better identification of at-risk individuals and the development of targeted interventions to prevent similar injuries. |
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| ISSN: | 2536-9660 |