Impingement of the medial gutter post total ankle replacement showing prosthesis medial malleolar contact a regional block popliteal or ankle and prophylactic antibiotics are given prior to the start of the procedure.
Ankle medial gutter.
The leg is exsanguinated and a thigh high tourniquet is inflated to 300 mmhg.
A tourniquet is used in all cases.
Anterolateral impingement is thought to occur subsequent to relatively minor inversion injuries of the ankle.
Pain on the medial gutter of the ankle and a valgus and pronation deformity of the foot are hallmarks of the disorder.
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.
Medial and lateral gutter ankle impingement may result after total ankle replacement tar.
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 fig.
The medial malleolus is the bony bit on the inside of the ankle.
Ankle impingement can hurt along the medial gutter as well white circle.
The lateral shoulder of the talus can be felt at the joint line by dorsiflexing and plantar flexing the ankle.
X rays are often unremarkable but an mri or mr arthrogram may demonstrate the impingement.
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.
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.
1 impingement is of an unknown complex etiology and is likely multifactorial.
Often nonoperative management is not successful in the setting of impingement after tar.
Thus surgery is often pursued.
Medial and lateral gutter ankle impingement may result after total ankle replacement tar.
The deformity typically can be corrected by the activation of the posterior tibial muscle.
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.
The medial side of the joint is formed of the medial malleolus of the tibia the lateral side of the joint is formed of the lateral malleolus of the fibula the articular part of the talus looks like a cylinder and fits snugly into the bracket provided by the syndemosis of the tibia and fibula when looking down upon the talus the articular surface is wider anteriorly than posteriorly.
Thus surgery is often pursued.
You will have specific point tenderness over the medial malleolus where the fracture is located.
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.
