Medial Gutter Ankle Anatomy

The knee should be placed in flexion of approximately 20 to 30 and the valgus force applied to open up the medial compartment.

Medial gutter ankle anatomy.

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. Ankle anatomy normal ap mortise the weight bearing portion is formed by the tibial plafond and the talar dome the joint extends into the lateral gutter 1 and the medial gutter 2 the joint is evenly spaced throughout. The talus is wedge shaped wider anteriorly by 2 5 mm and the talar dome is trapezoidal. A stress fracture of the medial malleolus can occur but is very rare 2.

Ankle anatomy the ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint. Inspection of the medial compartment is performed with the knee slightly flexed to allow the scope to enter the compartment over the anterior horn of the medial meniscus. The ankle arthroscopic procedure without distraction allows constant visualisation of the atfl s superior fascicle on the floor of the lateral gutter the atifl s distal fascicle laterally and the most anterior margin of the deltoid ligament in the medial gutter anterior tibiotalar ligament. 3 over time a meniscoid lesion is often the result of the lateral ankle injury.

3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. The lateral gutter of the ankle joint c can be found by running the thumb medially over the anterior and medial edge of the fibula. The medial malleolus is the bony bit on the inside of the ankle. The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle.

This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities. Bony proliferation and osteophytic spurs can be seen at the anteromedial tibial plafond and at the medial malleolus 1 which can be better seen on lateral ankle radiograph or sagittal view on ct.