A Large Ankle Mass in a Figure Skater: A Case Report

Document Type : CASE REPORT

Authors

1 1 Brigham and Women’s Hospital, Boston, MA, USA 2 Massachusetts General Hospital, Boston, MA, USA

2 Brigham and Women’s Hospital, Boston, MA, USA

Abstract

A 19-year-old male competitive figure skater presented to clinic with a 3 -year history of right ankle 
swelling. Exam demonstrated a ~6cm diameter mass over the medial malleolus. MRI revealed a well -
circumscribed fluid-filled mass. After failing conservative management, the patient underwent surgical 
excision. Anatomic pathology revealed a pseudocyst with pseudosynovial metaplasia, consistent with 
malleolar bursitis. Competitive figure skaters can develop significant medial malleolar bursitis due to 
excessive shear forces from ill-fitting skates. If non-operative management is ineffective, patients can 
be managed successfully with surgical excision. The patient made a full recovery and has returned to 
competitive skating without recurrence. 
 Level of evidence: IV

Keywords

Main Subjects


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