Medial Gutter Of The Ankle Joint

The deformity typically can be corrected by the activation of the posterior tibial muscle.

Medial gutter of the ankle joint. The eight points are the deltoid ligament medial gutter medial talus central talus lateral talus talofibular articulation lateral gutter and anterior gutter. Further improvement of visualization of the posterior horn of the medial meniscus can sometimes be enhanced by gentle external rotation of the foot while the knee is flexed in the valgus position. 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. From the tip the distal fibula and the shaft can be felt in its entirety by running the examiner s fingers proximally.

Ankle impingement is defined as pain in the ankle due to impingement in one of two areas. Synovitis synovitis is the inflammation of the synovial lining of a joint or tendon sheath. It proved that the lateral. Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder.

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. Through this sweeping examina tion a general assessment of the ankle joint is performed. The examination of the osteology of the lateral ankle begins with the easily palpable tip of the fibula fig.

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. In contrast to stress radiographs arthroscopy is a helpful diagnostic tool in verifying medial instability. The medial joint space typically opens up 3 5 to 4 mm to allow good visualization of the posterior horn of the medial meniscus. It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities.

A stress fracture of the medial malleolus can occur but is very rare 2. Ankle impingement can occur after traumatic ankle sprains or even fractures.