Medial malleolar bursitis is a rare cause of ankle pain 1. The medial malleolar bursa is an adventitial bursa that may develop over the medial malleolus usually due to wearing footwear that tightly encloses ankles and is commonly seen in figure skating and ice hockey players 2. This often leads to bursitis, causing pain over the medial aspect of the ankle.
Clinical presentation
The condition presents with pain over the medial aspect of the ankle. A soft tissue mass over the medial malleolus may also be palpable.
Radiographic features
MRI
Well-defined non-enhancing mass over the medial malleolus with increased fluid signal characteristics.
Treatment and prognosis
This condition is generally managed conservatively with lifestyle modifications or corticosteroid injections. Surgical excision is rarely indicated 1.