{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:55:07Z","timestamp":1790996107533,"version":"4.1.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Medial malleolar stress fractures (MMSFs) are uncommon but potentially high-risk injuries in athletes. In basketball players, repetitive jumping, landing, and cutting may expose the characteristic vertical fracture pattern to substantial shear, yet sport-specific operative data remain limited. This study reports the outcomes of plate-based fixation for MMSFs in high-level basketball players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective case series was performed of 10 high-level basketball players treated surgically for MMSF between 2007 and 2025. All patients underwent radiography, magnetic resonance imaging, and computed tomography (CT). Operative treatment consisted of shear resisting plate\u2013based fixation (one-third tubular anti-glide or hook plate) with fracture-perpendicular screws, selective bone grafting, biologic augmentation, and treatment of associated anterior impingement when indicated. Primary outcomes were radiographic union, return to play, and need for additional surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients were male, with a median age of 20.5\u2009years (range, 18-26). Median height was 205.5\u2009cm (IQR, 198-213), and the median weight was 103.5\u2009kg (IQR, 93-113). Eight players were professional and 2 were collegiate athletes later drafted professionally. CT demonstrated a vertically oriented fracture arising from the anteromedial tibial plafond in all cases. Union was achieved in all players. Nine returned to full team activities by 12\u2009weeks and to competitive play at a median of 4\u2009months (range, 3-4\u2009months). One player sustained a traumatic refracture 8\u2009months after index fixation, required 2 revision procedures, ultimately healed after supplemental anterior plating, and returned to play at 6\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Plate-based fixation was associated with reliable union and return to play, although revision surgery was required in 1 of 10 players. Given the consistent vertical fracture morphology and substantial sport-specific loading demands, shear resisting plating may be considered in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007261484949","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:10:45Z","timestamp":1790683845000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Plate-Based Operative Management of Medial Malleolar Stress Fractures in High-Level Basketball Players: A Short Report"],"prefix":"10.1177","author":[{"given":"Emmett","family":"O\u2019Malley","sequence":"first","affiliation":[{"name":"Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3040-3858","authenticated-orcid":false,"given":"Jaeyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3412-6512","authenticated-orcid":false,"given":"Martin","family":"O\u2019Malley","sequence":"additional","affiliation":[{"name":"Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2005.08.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749691210100407"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600111"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114241303463"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05483-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714524553"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100326"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.02.010"},{"issue":"1","key":"e_1_3_2_10_2","first-page":"67","article-title":"Differences in neuromuscular strategies between landing and cutting tasks in female basketball and soccer athletes","volume":"41","author":"Cowley HR","year":"2006","unstructured":"Cowley HR, Ford KR, Myer GD, Kernozek TW, Hewett TE. Differences in neuromuscular strategies between landing and cutting tasks in female basketball and soccer athletes. J Athl Train. 2006;41(1):67.","journal-title":"J Athl Train"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000247075.17548.3a"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20110627-09"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007261484949","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007261484949","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007261484949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:17:57Z","timestamp":1790993877000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007261484949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":11,"alternative-id":["10.1177\/10711007261484949"],"URL":"https:\/\/doi.org\/10.1177\/10711007261484949","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"10711007261484949"}}