Question: I was diagnosed with a medial malleolar fracture of my left tibia following a skiing accident. Based on the ED evaluation, the fracture was non-displaced at the time and "likely would not require surgery". There are two views, one more oblique than the other, the latter of which shows a slightly more displaced fracture. I am 5 days out from the injury and am in a short leg cast. I am in discomfort, and have generally babied the ankle, but have had the occasional unavoidable knock into a door frame, etc, while navigating with crutches.

I was hoping to have a second look at the original x-ray (mindful of the fact that I will be returning in less than a week for more imaging to determine the need for surgery, which the PA-C suggested would not be likely if everything stayed in place. I will try to attach the relevant files. What are thoughts on surgery for this type of fracture? I am a 32 year old male who leads an active lifestyle. I want to be able to return to my fitness routine (and skiing), but also need to be able to return to weight bearing as soon as safely possible for my job.

Assuming nothing moves, and the x-ray stays as pictured, what are general thoughts on the appropriateness of surgical reduction? Finally, I've read about impaction and indentation. Based on these films, is this a factor herein?

Kind regards.