© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a medial malleolus fracture refers to a non-surgical approach for managing a fracture located at the medial malleolus, which is the bony prominence on the inner side of the ankle formed by the distal end of the tibia. This area is crucial as it plays a significant role in the ankle joint's function by articulating with the talus bone. The procedure is specifically indicated for fractures that are either nondisplaced or minimally displaced, meaning that the bone fragments have not shifted significantly from their normal alignment. During this treatment, the fracture does not require any manipulation, which distinguishes it from other types of fracture treatments where realignment of the bone fragments is necessary. To ensure proper diagnosis and treatment, separate radiographs are obtained to confirm the presence and nature of the fracture. Additionally, a neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing. Once the diagnosis is confirmed, a cast is applied to immobilize the fracture, promoting healing and stability during the recovery process.
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