Ankle Gutter Anatomy

Patients will complain of pain around the. The osteochondral loose body likely originates from a full thickness sharply marginated chondral loss along the anterior aspects of the tibial plafond measuring 6 x 8 mm in dimension. The ankle is a complex hinge with articulations between the tibia fibula and talus forming a mortise joint.

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Anterior ankle impingement is a source of chronic ankle pain seen in athletes that complain of longstanding chronic pain in the front of their ankle.

Ankle gutter anatomy.

The anterolateral ankle gutter is the most common site of ankle impingement. The talus is wedge shaped wider anteriorly by 2 5 mm and the talar dome is trapezoidal. Paterson r brown j. These likely present sources of anterolateral gutter impingement.

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. Ankle anatomy normal lateral. Read ankle impingement syndomes article. Ankle impingement is defined as pain in the ankle due to impingement in one of two areas.

Anterior ankle impingement typically occurs in athletes who have played years in sports that involve a kicking motion or repeated ankle extremes of motion. The joint extends into the lateral gutter 1 and the medial gutter 2 the joint is evenly spaced throughout. Ankle anatomy normal ap mortise the weight bearing portion is formed by the tibial plafond and the talar dome. Anterolateral ankle impingement has been known under the term anterolateral meniscoid lesion which is the result of synovitis in the anterolateral gutter.

Or removal of the torn deltoid ligament from the medial gutter before accurate reduction is achievable. Anterior talofibular ligament injury is the most common of the ligament injuries that can occur as part of the lateral ligament complex injuries 2. Hover on off image to show hide findings. 3 over time a meniscoid lesion is often the result of the lateral ankle injury.

The fibula must be. Anterior anterolateral and anteromedial and posterior posteromedial 1 location of pain is referenced from the tibiotalar talocrural joint 2 anterior ankle impingement generally refers to entrapment of structures along the anterior margin of the tibiotalar joint in terminal dorsiflexion. 3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. It is an uncommon cause of chronic lateral ankle pain 6 typically seen in athletes 3 5.

The injuries can comprise either soft tissue tears avulsion fractures or both.

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