Medial Gutter Ankle Anatomy

The medial ankle causing medial gutter impingement due to overstress of the deltoid ligament or due to components not adequately covering the resected portion of bone 8 medial gutter impingement was more common than lateral in our study but both were.

Medial gutter ankle anatomy.

The medial malleolus is the bony bit on the inside of the ankle. A stress fracture of the medial malleolus can occur but is very rare 2. The lateral gutter of the ankle joint c can be found by running the thumb medially over the anterior and medial edge of the fibula. The ankle arthroscopic procedure without distraction allows constant visualisation of the atfl s superior fascicle on the floor of the lateral gutter the atifl s distal fascicle laterally and the most anterior margin of the deltoid ligament in the medial gutter anterior tibiotalar ligament.

Typically the capsule and synovial lining of the ankle joint get inflamed and can develop scar tissue in either the anteromedial gutter or anterolateral gutter between the ankle bones. The knee should be placed in flexion of approximately 20 to 30 and the valgus force applied to open up the medial compartment. The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle. Ankle anatomy normal ap mortise the weight bearing portion is formed by the tibial plafond and the talar dome the joint extends into the lateral gutter 1 and the medial gutter 2 the joint is evenly spaced throughout.

The anterolateral ankle gutter is the most common site of ankle impingement. Bony proliferation and osteophytic spurs can be seen at the anteromedial tibial plafond and at the medial malleolus 1 which can be better seen on lateral ankle radiograph or sagittal view on ct. 3 over time a meniscoid lesion is often the result of the lateral ankle injury. Ankle anatomy the ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint.

It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities.