Medial Gutter Of The Ankle

Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder.

Medial gutter of the ankle.

Medial and lateral gutter ankle impingement may result after total ankle replacement tar. 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. The deformity typically can be corrected by the activation of the posterior tibial muscle. Ankle impingement can hurt along the medial gutter as well white circle.

Ankle arthroscopy is a highly effective technique for managing an assortment of intraarticular disorders of the ankle including ankle osteophytes and talar osteochondral lesions. 1 impingement is of an unknown complex etiology and is likely multifactorial. The examination of the osteology of the lateral ankle begins with the easily palpable tip of the fibula fig. Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes.

It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities. Gutter impingement was treated surgically either through open medial and lateral ankle arthrotomies in 12 cases 32 4 or through an anterior ankle arthrotomy in 25 cases 67 6 figures 4 8. Gutter impingement in all primary tars performed at our institution and details the diagnosis and treatment of the disease. Often nonoperative management is not successful in the setting of impingement after tar.

A stress fracture of the medial malleolus can occur but is very rare 2. 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 anterolateral impingement is thought to occur subsequent to relatively minor inversion injuries of the ankle. Often nonoperative management is not successful in the setting of impingement after tar. You will have specific point tenderness over the medial malleolus where the fracture is.

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. 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. In contrast to stress radiographs. The medial malleolus is the bony bit on the inside of the ankle.

The lateral gutter of the ankle joint can be found by running the thumb medially over the anterior and medial edge of the fibula.