{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:58:57Z","timestamp":1790420337879,"version":"4.1.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2002,7,1]],"date-time":"2002-07-01T00:00:00Z","timestamp":1025481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2002,7]]},"abstract":"<jats:p>Stress fracture of the medial malleolus is rare and not reported in children. We report a case of a 15-year-old elite gymnast with open physes sustaining a medial malleolar stress fracture. The patient was treated initially by rest and gradually returned to sport with full recovery. Two months later she developed a complete fracture of the medial malleolus of the same side. This was treated surgically by open reduction and internal fixation with a cancellous screw and soon after the operation she returned to full activities. Emphasis is given to the suspected mechanism which led to this unique fracture and to the hormonal aspects in the professional adolescent gymnast.<\/jats:p>\n                  <jats:p>We recommend surgical treatment of stress fracture of the medial malleolus especially for elite athletes, leading to early recovery and return to sports activities.<\/jats:p>","DOI":"10.1177\/107110070202300711","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T01:29:45Z","timestamp":1448414985000},"page":"647-650","source":"Crossref","is-referenced-by-count":48,"title":["Stress Fractures of the Medial Malleolus\u2014Review of the Literature and Report of a 15-Year-Old Elite Gymnast"],"prefix":"10.1177","volume":"23","author":[{"given":"S.","family":"Shabat","sequence":"first","affiliation":[{"name":"The Orthopaedic Surgery Department, Foot and Ankle Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.B.","family":"Sampson","sequence":"additional","affiliation":[{"name":"The Orthopaedic Surgery Department, Foot and Ankle Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Mann","sequence":"additional","affiliation":[{"name":"The Orthopaedic Surgery Department, Foot and Ankle Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Gepstein","sequence":"additional","affiliation":[{"name":"The Orthopaedic Surgery Department, Foot and Ankle Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Eliakim","sequence":"additional","affiliation":[{"name":"The Pediatric Department, Endocrinology Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Shenkman","sequence":"additional","affiliation":[{"name":"The Service for Pediatric Anesthesiology The Sapir Medical Center, Kfar-Saba, and Tel Aviv Sourasky Medical School, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Nyska","sequence":"additional","affiliation":[{"name":"The Orthopaedic Surgery Department, Foot and Ankle Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2002,7,1]]},"reference":[{"key":"bibr1-107110070202300711","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-199610000-00006"},{"key":"bibr2-107110070202300711","doi-asserted-by":"publisher","DOI":"10.1007\/BF02672512"},{"key":"bibr3-107110070202300711","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.159.2.1632335"},{"issue":"10","key":"bibr4-107110070202300711","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.3928\/0147-7447-19911001-07","volume":"14","author":"Ha Kl","year":"1991","journal-title":"Orthopedics"},{"key":"bibr5-107110070202300711","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)31190-X"},{"key":"bibr6-107110070202300711","first-page":"732","volume":"67","author":"Milgrom C","year":"1985","journal-title":"A prospective study showing an unusual high incidence. 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