Trouvaillant, when he was bitten in the left external malleolus by a Trigonocephalus which was rutting (a circumstance which, according to the natives, aggravates the character of the bite).
Of the two tuberosities, that which is internal is comparable to the internal malleolus of man, the one on the outer side forms a sort of external malleolus; but this latter here belongs to the tibia, and not to the fibula.
The inferior extremity, less thick, is prolonged internally by a prominence which corresponds to the internal malleolusof man.
A single flap was formed in the sole, with the convexity looking forwards, by an incision from one malleolus to the other.
Most surgical manuals, even when they profess to describe Mr. Syme's own method of operating, say that the incision should extend from malleolus to malleolus.
Achillis, and drawn horizontally forwards along the outer side of the foot, somewhat in front of the calcaneo-cuboid joint, which lies midway between the outer malleolus and the end of the fifth metatarsal bone.
The foot being held at a right angle to the leg, the point of a straight bistoury, with a pretty strong blade, should be entered just below the centre of the external malleolus (Plate IV.
A curved incision on the dorsum of the foot extending from one malleolus to the other, and as far forwards as the front of the scaphoid.
The surgeon should measure with his eye the middle distance between the malleolus externus and the head of the metatarsal bone of the little toe, which is the situation of the articulation between the os cuboides and os calcis.
An incision midway between the internal malleolus and the tendo Achillis, parallel with both, will expose the very deep and strong fascia in which the tendons lie.
The course of the ball from the internal malleolus across to the lower end of the tibia and fibula is well marked by the trail of metal particles left by the contact of the ball with the bones.
The outer malleolus descends lower than the inner.
The inner malleolus advances more to the front and does not descend so low as the outer.
At the inner side of the ankle the internal malleolus is subcutaneous, while on the outer side the tip of the external malleolus is rather lower and farther back.
Between the two, in the mid-line of the calf, the external saphenous vein and nerve lie, while lower down they pass behind the external malleolus to the outer side of the foot.
The outer malleolus sometimes gives way from the same cause; or it may be snapped off by a direct blow.
The lower portion of the tibia is sometimes longitudinally split by bending inwards of the foot, the patient having fallen from a considerable height; occasionally the inner malleolus is broken transversely.
The heel is drawn upwards and somewhat outwards, the internal malleolus is uncommonly prominent, the instep is flatter than natural, and the muscles of the calf, together with the adductors of the foot, are permanently contracted.
In these accidents it is not unfrequently found that one or other malleolus has given way, or that the lower end of the tibia is split.
The foot appears shortened because it is curved on itself, the heel is narrower and more vertical than normal, the medial malleolus is obscured by the approximation of the navicular, and the lateral malleolus is unduly prominent.
The medial malleolus alone may be carried away, or a portion of the broad part of the tibia may accompany it.
The lateral malleolus is broken across its base, or, in young subjects, along the epiphysial line.
When the movement of abduction predominates, the deltoid ligament is usually ruptured, or the anterior edge or tip of the medial malleolus torn off.
The medial malleolus is unduly prominent, stretching the skin, which may give way if the patient attempts to walk.
When forcible eversion is the chief movement, the tightening of the deltoid (internal lateral) ligament usually tears off the medial malleolus across its base.
The lateralmalleolus is unduly prominent, and reaches nearly to the sole.
In the backward and lateral variety, the medial malleolus and head of the talus project unduly towards the medial side of the foot, which is abducted and everted.
If the sole or main movement is eversion, the internal malleolus is broken, and if the force continues to act, it also causes the external malleolus to be broken.
The inner malleolus is generally more prominent and the foot is displaced outward in relation to the leg.
Below and behind the inner malleolus the scaphoid projects beneath the skin.
The fibula is seldom broken, the usual seat of the fracture being in the tip of the internal malleolus or in the articular surface of the tibia.
Later, a painful period generally begins in which walking is avoided and a dragging pain in the arch and behind the inner malleolus is noticed.
The inner malleolus is close to the sole of the foot, and in front of it the head of the astragalus forms a prominence.
The external malleolus and head of the astragalus are very prominent on the outer side of the foot.
In this variety the foot is rotated markedly inward and the externalmalleolus is very prominent.
If the movement continues, the internal malleolusor a greater portion of the tibia is broken off.
The foot is displaced outward, and the internalmalleolus is prominent.
The upper convex surface of the astragalus is directed toward the external malleolus and can be felt there.
In fractures of the external malleolus alone, the patient may walk quite well.
Similarly the tibialis posterior may be displaced over the medial malleolus as a result of inversion of the foot.
The irritable condition is met with in ulcers which occur, as a rule, just above the external malleolus in women of neurotic temperament.
The theca through which the deep digital flexor (perforans) plays in the tarsal region, begins about three inches above the inner tibialmalleolus and extends about one-fourth of the way down the metatarsus.
In a third case the fuse struck the side of the foot below the outer malleolus and comminuted the astragalus, and then passing forwards lodged beneath the extensor tendons of the toes.
Putting these peculiarities on one side, the cancellous ends are subject to the type forms of injury; thus perforations either of the head of the bone or the malleoluswere common injuries.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "malleolus" in a variety of sentences. We hope that you will now be able to make sentences using this word.
