EXTRA CENTRE OF OSSIFICATION FOR THE MEDIAL MALLEOLUS IN CHILDREN

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  • Incidence and Significance

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<jats:p> 1. Two boys complaining of pain in the ankle were shown to have centres of separate ossification for the medial malleoli. These were present bilaterally, but discomfort was unilateral. </jats:p><jats:p> 2. In one, followed for fifteen months, the extra centre became wholly incorporated into the normal lower tibial epiphysis. </jats:p><jats:p> 3. in a series of 100 children between the ages of six and twelve, without any known disease or injury of the ankles, radiographs showed that 20 per cent had a separate medial malleolar centre on one side. In 13 per cent this finding was present bilaterally. In one child a separate lateral malleolar centre was also found. </jats:p><jats:p> 4. The significance of this finding is discussed, and it is considered to be a normal variant. </jats:p><jats:p> 5. Occasionally one of these centres may remain unfused into adult life. Attention is drawn to the possible implications of this persistence. </jats:p>

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