1 impingement is of an unknown complex etiology and is likely multifactorial.
Ankle medial gutter.
Thus surgery is often pursued.
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.
Impingement after tar can be a source of pain and decreased patient satisfaction which in turn results in poor outcomes.
The medial malleolus is the bony bit on the inside of the ankle.
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.
Often nonoperative management is not successful in the setting of impingement after tar.
The deformity typically can be corrected by the activation of the posterior tibial muscle.
Thus surgery is often pursued.
Anterolateral impingement is thought to occur subsequent to relatively minor inversion injuries of the ankle.
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.
A tourniquet is used in all cases.
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 hurt along the medial gutter as well white circle.
Medial and lateral gutter ankle impingement may result after total ankle replacement tar.
Anterior ankle impingement typically occurs in athletes who have played years in sports that involve a kicking motion or repeated ankle extremes of motion.
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.
You will have specific point tenderness over the medial malleolus where the fracture is located.
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.
Often nonoperative management is not successful in the setting of impingement after tar.
The leg is exsanguinated and a thigh high tourniquet is inflated to 300 mmhg.
X rays are often unremarkable but an mri or mr arthrogram may demonstrate the impingement.
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.
