Medial Gutter Ankle Anatomy

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.

Medial gutter ankle anatomy.

3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. 3 over time a meniscoid lesion is often the result of the lateral ankle injury. 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. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities.

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. The anterolateral ankle gutter is the most common site of ankle impingement. 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.

Ankle anatomy the ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint. 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 medial malleolus is the bony bit on the inside of the ankle. 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 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. 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.