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Malleolus

From Wikipedia, the free encyclopedia
Ankle bone protrusion
This article is about the structure in human anatomy. For insects, seeMalleolus (arthropod). For other uses, seeMalleus (disambiguation).
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Malleolus
Coronal cross-section through the right ankle showing thelateral malleolus (right) andmedial malleolus (left)
The left leg, with themedial malleolus labeled at bottom right.
Details
Identifiers
Latinmalleolus
TA98A02.5.07.014
TA21442
FMA35502
Anatomical terms of bone
Look upmalleolus in Wiktionary, the free dictionary.

Amalleolus is the bony prominence on each side of the humanankle.

Each leg is supported by two bones, thetibia on the inner side (medial) of the leg and thefibula on the outer side (lateral) of the leg. Themedial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. Thelateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula.

The wordmalleolus (/məˈlələs,mæ-/[1][2]), pluralmalleoli (/məˈləˌl,mæ-/), comes from Latin and means "smallhammer". (It iscognate withmallet.)

Medial malleolus

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The medial malleolus is found at the foot end of thetibia. The medial surface of thelower extremity of tibia is prolonged downward to form a strong pyramidalprocess, flattened from without inward - the medial malleolus.

  • Themedial surface of this process is convex and subcutaneous.
  • Thelateral orarticular surface is smooth and slightlyconcave, and articulates with thetalus.
  • Theanterior border is rough, for the attachment of the anterior fibers of the deltoid ligament of theankle-joint.
  • Theposterior border presents a broad groove, themalleolar sulcus, directed obliquely downward and medially, and occasionally double; this sulcus lodges the tendons of thetibialis posterior andflexor digitorum longus.
  • Thesummit of the medial malleolus is marked by a rough depression behind, for the attachment of thedeltoid ligament.

The major structure that passes anterior to the medial malleolus is the saphenous vein.

Structures that pass behind medial malleolus deep to theflexor retinaculum:

Lateral malleolus

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The lateral malleolus is found at the foot end of thefibula, of a pyramidal form, and somewhat flattened from side to side; it descends to a lower level than the medial malleolus.

  • Themedial surface presents in front a smooth triangular surface, convex from above downward, which articulates with a corresponding surface on the lateral side of the talus. Behind and beneath the articular surface is a rough depression, which gives attachment to theposterior talofibular ligament.
  • Thelateral surface is convex, subcutaneous, and continuous with the triangular, subcutaneous surface on the lateral side of the body.
  • Theanterior border is thick and rough and marked below by a depression for the attachment of theanterior talofibular ligament.
  • Theposterior border is broad and presents the shallowmalleolar sulcus, for the passage of the tendons of theperonæi longus andbrevis.
  • Thesummit is rounded and gives attachment to thecalcaneofibular ligament.

A major structure that is located between the lateral malleolus and the Achilles tendon is the sural nerve.

Clinical significance

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Fracture

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See also:Weber classification

Abimalleolar fracture is afracture of theankle that involves thelateral malleolus and themedial malleolus. Studies have shown[3] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.[3]

Atrimalleolar fracture is afracture of theankle that involves thelateral malleolus, themedial malleolus, and the distal posterior aspect of thetibia, which can be termed theposterior malleolus. The trauma is sometimes accompanied byligament damage and dislocation.[4]

Additional images

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  • Ankle joint. Deep dissection. Lateral view.
    Ankle joint. Deep dissection. Lateral view.
  • Ankle joint. Deep dissection.
    Ankle joint. Deep dissection.
  • Ankle joint. Deep dissection.
    Ankle joint. Deep dissection.
  • Image showing the lateral malleolus as part of the fibula.
    Image showing the lateral malleolus as part of the fibula.
  • X-ray avulsion fracture of the summit of the left lateral malleolus.
    X-ray avulsion fracture of the summit of the left lateral malleolus.

References

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Public domainThis article incorporates text in thepublic domain frompage 5 of the 20th edition ofGray's Anatomy(1918)

  1. ^"Malleolus".Merriam-Webster.com Dictionary. Merriam-Webster. Retrieved2016-01-22.
  2. ^"Malleolus".Lexico UK English Dictionary.Oxford University Press. Archived fromthe original on 2020-03-22.
  3. ^abTejwani, Nirmal; et al. (2007)."Are Outcomes of Bimalleolar Fractures Poorer Than Those of Lateral Malleolar Fractures with Medial Ligamentous Injury?".Journal of Bone and Joint Surgery.89 (7):1438–1441.doi:10.2106/JBJS.F.01006.PMID 17606780. Archived fromthe original on 15 February 2010. Retrieved26 November 2010.
  4. ^Orthopaedic Trauma Association (September 2007)."Ankle Fractures".AAOS.
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