A figure skater may develop bursitis over the medial or lateral malleolus. Normally there is no bursa over a malleolus but one may develop in response to repetitive stress or excessive pressure.


Clinical features:

(1) painful soft tissue mass over the medial or lateral malleolus

(2) fluctuant

(3) mild tenderness on palpation

(4) clinical improvement on cushioning the affected malleolus, stretching the boot to reduce pressure over the malleolus or interruption of skating


Risk factors:

(1) new skating boots

(2) change or increase in training


Differential diagnosis:

(1) septic bursitis

(2) stress fracture


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