{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:38:55Z","timestamp":1778233135715,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2008,7,1]],"date-time":"2008-07-01T00:00:00Z","timestamp":1214870400000},"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":[[2008,7]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    Medial malleolar stress fractures are uncommon even in the sporting population. We believe that stress fractures of the medial malleolus may be the end stage of chronic anteromedial ankle impingement in elite running and jumping athletes.\n                    <jats:italic toggle=\"yes\">Materials and Methods:<\/jats:italic>\n                    We present five cases of elite athletes who presented to our institution with stress fractures of the medial malleolus over a 3-year period (2004 to 2007). In each case preoperative imaging revealed an anteromedial bony spur on the tibia. All fractures were internally fixed and at the same sitting had arthroscopic debridement of the bony spur.\n                    <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    All fractures united without further intervention, average time to union was 10.2 (range, 6 to 16) weeks. At most recent review (average, 18 months; range, 8 to 37 months), all patients had resumed sporting activity to their previous level. No patient had suffered a recurrent fracture of the medial malleolus.\n                    <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                    We believe this region of impingement to be important in the development of the stress fracture and should be addressed at the time of fracture fixation.\n                  <\/jats:p>","DOI":"10.3113\/fai.2008.0716","type":"journal-article","created":{"date-parts":[[2008,7,22]],"date-time":"2008-07-22T15:42:50Z","timestamp":1216741370000},"page":"716-721","source":"Crossref","is-referenced-by-count":35,"title":["Medial Malleolar Stress Fracture Secondary to Chronic Ankle Impingement"],"prefix":"10.1177","volume":"29","author":[{"given":"Andrew J. L.","family":"Jowett","sequence":"first","affiliation":[{"name":"Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher L.","family":"Birks","sequence":"additional","affiliation":[{"name":"Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark C.","family":"Blackney","sequence":"additional","affiliation":[{"name":"Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,7]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400617"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B4.13871"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70022-3"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31863-0"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00016"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(97)80010-4"},{"key":"e_1_3_1_8_1","first-page":"416","article-title":"Radiographically negative stress related bone injury","volume":"39","author":"Hodler J","year":"1998","unstructured":"7. Hodler J, Steinert H, Zanetti M, : Radiographically negative stress related bone injury. MR imaging versus two-phase bone scintigraphy. Acta Radiol. 39: 416\u2013420, 1998","journal-title":"MR imaging versus two-phase bone scintigraphy. Acta Radiol."},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1950.01250010980011"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264030-00022"},{"key":"e_1_3_1_11_1","first-page":"447","article-title":"Ankle overuse injuries in soccer players. Morphological adaptation of the talus in the anterior impingement","volume":"31","author":"Massada JL","year":"1991","unstructured":"10. Massada JL: Ankle overuse injuries in soccer players. Morphological adaptation of the talus in the anterior impingement. 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