Medial And Lateral Gutter Ankle

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.

Medial and lateral gutter ankle.

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. The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle. The distal syndesmosis is felt by following the medial edge of the fibula superior to the joint line.

Ankle impingement can occur after traumatic ankle sprains or even fractures. Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder. 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. Thus surgery is often pursued.

The lateral gutter of the ankle joint can be found by running the thumb medially over the anterior and medial edge of the fibula. 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. 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. It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities.

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. A stress fracture of the medial malleolus can occur but is very rare 2. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities. Medial and lateral gutter ankle impingement may result after total ankle replacement tar.