Ankle Medial Gutter

Often nonoperative management is not successful in the setting of impingement after tar.

Ankle medial gutter.

Disturbing the cortex and periosteum with bone resection causes. In contrast to stress radiographs arthroscopy is a helpful diagnostic tool in verifying medial instability. It proved that the lateral. The medial malleolus is the bony bit on the inside of the ankle.

You will have specific point tenderness over the medial malleolus where the fracture is. Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes. The deformity typically can be corrected by the activation of the posterior tibial muscle. 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.

The medial approach to the ankle is utilized for the fixation of medial malleolar fractures figure 1 figure 2 or to facilitate the removal of an entrapped ruptured deltoid ligament that is blocking accurate ankle reduction this approach utilizes a longitudinal incision centred over the tip of the medial malleolus. Medial and lateral gutter ankle impingement may result after total ankle replacement tar. It occurs when bone spurs or osteophytes develop on the front anterior aspect of the bones of the ankle. A stress fracture of the medial malleolus can occur but is very rare 2.

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. 1 impingement is of an unknown complex etiology and is likely multifactorial. It causes pain on the inside of the ankle which is exacerbated by activity especially running and jumping activities. Often nonoperative management is not successful in the setting of impingement after 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. From the tip the distal fibula and the shaft can be felt in its entirety by running the examiner s fingers proximally. Anterior ankle impingement originally nicknamed footballer s ankle and later known as athlete s ankle is a source of chronic ankle pain seen in athletes. The medial ankle causing medial gutter impingement due to overstress of the deltoid ligament or due to components not adequately covering the resected portion of bone 8 medial gutter impingement was more common than lateral in our study but both were usually affected.

Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder. Medial and lateral gutter ankle impingement may result after total ankle replacement tar.