----- Original Message -----
From: Richard Bolton <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, January 19, 2002 7:34 PM
Subject: Re: why an avulsion fracture
> maybe it was due to a rotational movent of the foot about the ankle joint.
> but then the lateral pprain would have been grade III and perhaps a
> syndesmosis injury as well. Maybe she had it from a previous injury and
> didn't know about it? or maybe she got it wrong. do you have recent x-rays
> confirming the diagnosis?
> The X rays 2 weeks after the injury showed a tiny avulsion of the tip of
the medial malleolus. As far as I can see the fragment is visible a few cm.
caudal of the malleolus. No X rays have been made later.
The most significent symptom was; she could only stand and walk on her toes;
she had problems with the dorsal flexion; I guess the talus gives pressure
on the malleoli during dorsal flexion. Syndesmosis injury will probably
cause pain as well during dorsal flexion. So you might be right suggesting