Ankle anatomy the ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint.
Medial gutter ankle anatomy.
2 3 is as accessible as the lateral.
The reference point here is the tip of the medial malleolus a which also allows a reference for medial ankle osteology.
Anteromedial and anterolateral ankle the medial ankle gutter is comprised of the medial.
The talus is wedge shaped wider anteriorly by 2 5 mm and the talar dome is trapezoidal.
The joint extends into the lateral gutter 1 and the medial gutter 2 the joint is evenly spaced throughout.
T6 chapter 5 ankle arthroscopy the surgeon already has an idea ofwhat portion of the ankle will present with pathology based on the results of the ciinical examination however a thorough arthroscopic examination of fie entire ankle should be performed to remove all pathology that is identified.
The weight bearing portion is formed by the tibial plafond and the talar dome.
Patients will complain of pain around the anterolateral ankle gutter during weightbearing and may feel like the pain is deep in the joint.
3 over time a meniscoid lesion is often the result of the lateral ankle injury.
Medial ankle the topography of the medial ankle and hindfoot fig.
The tip of the malleolus is the most distal bony prominence palpated on the medial tibia.
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.