Medial Gutter Of Ankle

Often nonoperative management is not successful in the setting of impingement after tar.

Medial gutter of ankle.

Ankle impingement can occur after traumatic ankle sprains or even fractures. The deep deltoid ligament fibers are primarily directed in the transverse plane. 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. Medial and lateral gutter ankle impingement may result after total ankle replacement tar.

You will have specific point tenderness over the medial malleolus where the fracture is located. Medial and lateral gutter ankle impingement may result after total ankle replacement tar. 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. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities.

Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder. 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. These fibers prevent external rotation of the talus and prevent lateral subluxation of the talus and medial gutter widening. It is associated with the medial capsule of the ankle joint.

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