Amedial malleolusfracture can happen during activity when your foot collapses inward or rotates too far outward.
Fractures of the medial malleolus are relatively uncommon.
When they do occur, they are usually part of a more complex pattern of ankle fractures.

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This article explains what medial malleolus fractures are, as well as their causes and symptoms.
It also addresses treatment options and their potential complications.
There are well-established criteria to determine if an X-ray is necessary.
Most fractures are readily visible on X-rays, so further tests usually aren’t needed.
This can happen if cartilage inside the ankle joint is also damaged at the time of the injury.
Treatment
There are both surgical and non-surgical options to treat medial malleolus fractures.
The one that is best for you depends on how the fracture has impacted the ankle joint.
Fractures usually are treated with a short leg cast or a removable brace, often called a boot.
Several studies have documented proper healing of medial malleolus fractures without surgery.
In most of these cases, the ankle joint was not out of position.
These include placement of a plate and screws or wiring techniques.
Other surgeons may opt to perform an ankle arthroscopy at the time of repair to better see the cartilage.
This minimally invasive procedure involves making two small incisions to gain access to the ankle joint.
Recovery
It takes at least six weeks for a broken bone to heal.
More time will be added to your recovery if any ligaments or tendons have been damaged.
Expect your healthcare provider to monitor your progress with more X-rays.
When you’re ready, you will begin to exercise and strengthen your ankle.
The rehabilitation process can take time.
It’s natural to become impatient during this period.
If that happens, you would have to begin the process all over again.
The speed and quality of your recovery depend on your diligence.
Expect a minimum of six weeks and potentially as long as three to four months before you resume weight-bearing.
Frequently Asked Questions
The medial malleolus is at the end of the tibia.
Isolated medial malleolus fractures are relatively uncommon, but they do occur.
Medial malleolus fractures are typically part of a more complex ankle injury.
It depends on the severity.
Severe fractures often require surgery.
With these, you’ll need to be off your feet for several weeks.
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