Sitting, standing, or lying supine
Ask the patient to wear shorts or lift the pant leg to allow direct palpation on the skin.
Anterior or posterior to the patient.
Please sit (or other position). May I touch the inside of your ankle? (or demonstrate).
Guide the patient to be in the position you want. If given permission, place your fingers on the bony prominence on the distomedial tibia.
VH - Medial malleolus of the tibia