Ankle Medial Gutter

The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle.

Ankle medial gutter.

Medial and lateral gutter ankle impingement may result after total ankle replacement tar. A stress fracture of the medial malleolus can occur but is very rare 2. A sports medicine physician can try to make this diagnosis by physical examination recreating the patient s symptoms by palpation of the area of inflammation and impingement. Anterior ankle impingement typically occurs in athletes who have played years in sports that involve a kicking motion or repeated ankle extremes of motion.

1 impingement is of an unknown complex etiology and is likely multifactorial. Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes 1 impingement is of an unknown complex etiology and is likely multifactorial. Thus surgery is often pursued. Often nonoperative management is not successful in the setting of impingement after tar.

A tourniquet is used in all cases. You will have specific point tenderness over the medial malleolus where the fracture is located. Anterior ankle impingement is a source of chronic ankle pain seen in athletes that complain of longstanding chronic pain in the front of their ankle. Medial and lateral gutter ankle impingement may result after total ankle replacement tar.

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 medial side of the joint is formed of the medial malleolus of the tibia the lateral side of the joint is formed of the lateral malleolus of the fibula the articular part of the talus looks like a cylinder and fits snugly into the bracket provided by the syndemosis of the tibia and fibula when looking down upon the talus the articular surface is wider anteriorly than posteriorly. Anterolateral impingement is thought to occur subsequent to relatively minor inversion injuries of the ankle. Ankle impingement can hurt along the medial gutter as well white circle.

Impingement of the medial gutter post total ankle replacement showing prosthesis medial malleolar contact a regional block popliteal or ankle and prophylactic antibiotics are given prior to the start of the procedure. The deformity typically can be corrected by the activation of the posterior tibial muscle. Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder. It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities.

Anterolateral impingement of the ankle is a relatively uncommon cause of chronic lateral ankle pain produced by entrapment of abnormal soft tissue in the anterolateral gutter of the ankle 2 4 fig. Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes. Often nonoperative management is not successful in the setting of impingement after tar. The medial malleolus is the bony bit on the inside of the ankle.