Medial Gutter Of Ankle Joint

It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities.

Medial gutter of ankle joint.

It is used in the prediction of deltoid ligament injury 1 and in conjunction with the tibiofibular clear space tfcs the tibiofibular overlap tfo and the superior clear space in the diagnosis syndesmotic injury 2 3. Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes. The medial gutter medial bend and medial talar dome are first examined. Anteromedial ankle impingement can occur as a consequence of anterior tibiotalar ligament injury with subsequent synovitis osteophyte formation from repetitive microtrauma fractures and or chronic ankle instability causing mechanical entrapment of the anteromedial part of the tibiotalar joint capsule 1 4.

Radiographic features plain radiograph ct. Implant designs like agility can treat arthritis in medial and lateral gutters by extending the replacement to these joints but can still cause soft tissue impingement. A stress fracture of the medial malleolus can occur but is very rare 2. You will have specific point tenderness over the medial malleolus where the fracture is located.

Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder. A typical injection of approximately 5 ml of 1 or 2 xylocaine with no epinephrine into the ankle joint is performed through the anterolateral lateral to peroneus tertius or anteromedial approach medial to tibialis anterior. The broadest distance between the lateral border of the medial malleolus and the medial side of the talar dome is measured usually parallel to the superior. Medial and lateral gutter ankle impingement may result after total ankle replacement tar.

Next the anterior talus the lateral talus lateral bend and lateral gutter are examined. Whether prophylactic soft tissue decompression may offer a solution is also doubtful but may be useful in patients who have significant medial symptoms before surgery. Anterior anterolateral and anteromedial and posterior posteromedial 1 location of pain is referenced from the tibiotalar talocrural joint 2 anterior ankle impingement generally refers to entrapment of structures along the anterior margin of the tibiotalar joint in terminal dorsiflexion. The medial malleolus is the bony bit on the inside of the ankle.

A history of a chronically unstable feeling that is manifested by recurrent injuries with pain tenderness and sometimes bruising over the medial and lateral ligaments is considered to indicate combined medial and lateral instability that is believed to result in rotational instability of the talus in the ankle mortise. The examination of the ankle joint is from medial to lateral. 1 impingement is of an unknown complex etiology and is likely multifactorial.