Medial Gutter Ankle Anatomy

Ankle anatomy the ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint.

Medial gutter ankle anatomy.

It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities. 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. The medial malleolus is the bony bit on the inside of the ankle. 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.

3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle. 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 knee should be placed in flexion of approximately 20 to 30 and the valgus force applied to open up the medial compartment.

3 over time a meniscoid lesion is often the result of the lateral ankle injury. Inspection of the medial compartment is performed with the knee slightly flexed to allow the scope to enter the compartment over the anterior horn of the medial meniscus. The talus is wedge shaped wider anteriorly by 2 5 mm and the talar dome is trapezoidal. A stress fracture of the medial malleolus can occur but is very rare 2.

The anterolateral ankle gutter is the most common site of ankle impingement. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities.