The Ankle Joint

1
The Ankle Joint

• Becky Gettinger, Laura Boehm,
• Laura Weissmueller, Jenny Breden

2
Bone Structure

• Articulation of tibia, fibula, and talus
• Synovial hinge joint

3
Movement

• Dorsiflexion
• Extensor digitorum longus
• Peroneus tertius
• Extensor hallucis longus
• Tibialis anterior
• Plantar flexion
• Peroneus longus and brevis
• Gastrocnemius
• Plantaris
• Soleus
• Flexor digitorum longus
• Flexor hallucis longus
• Tibialis posterior

4
Movement
5
LigamentsLateral View

• Add stability to joint along with the help of the
  muscles crossing the joint
• Anterior talofibular ligament
• Calcaneofibular ligament

6
LigamentsLateral View

• Talocalcaneal ligament
• Calcaneonavicular ligament
• Tibiofibular ligament

7
LigamentsMedial View

• Deltoid Ligament
• Posterior tibiotalar part
• Tibionavicular part
• Tibiocalcaneal part

8
LigamentsPosterior View

• Calcaneofibular ligament
• Posterior talofibular ligament
• Posterior tibiotalar part of deltoid ligament

9
Common Conditions of the Ankle

• Ankle arthritis occurs when the tibiotalar joint
  has damaged or worn cartilage causing pain and
  swelling of the talus, tibia, or fibula.
• Ankle arthritis most likely involved in
  inflammatory arthritis occurring after injury.
• http//orthopedics.about.com/gi/dynamic/offsite.h
  tm?zi1/XJ/Yasdnorthopedicscdnhealthtm45gps
  82_146_1020_558f00tt14bt0bts1zuhttp3A/
  /www.orthop.washington.edu/faculty/Sangeorzan/ankl
  earthritis/01

10
Ankle Sprain

• Injury to ligament in ankle when stretched or
  torn
• Most common orthopedic injuries
• Occurs when person lands from jumping or running
  on to an uneven surface.
• Grade I Ankle Sprain
• Stretched ligament, pain and swelling, difficulty
  jogging or jumping
• Grade II Ankle Sprain
• Partial tear of ligament, moderate pain, can take
  a few steps
• Grade III Ankle Sprain
• Complete tear of ligaments, severe painful,
  difficulty walking
• http//orthopedics.about.com/cs/sprainsstrains/a/a
  nklesprain.htm

11
Ankle Sprain
This is a picture of the inversion sprain which
is more common than the eversion sprain.
12
Ankle Fractures

• Ankle fracture occurs in either the tibia,
  fibula, or the talus.
• Most commonly occurs in the tibia or fibula.
• Often includes total tear of one or more ankle
  ligaments
• Symptoms pain to touch, swelling, bruising,
  inability to walk

13
Ankle Fracture
14
Achilles Tendonitis

• Irritation and inflammation of Achilles tendon in
  posterior of ankle
• It is an overuse injury that occurs in
  middle-aged athletes
• Caused by lack of flexibility or overpronation
• Symptoms pain and swelling over posterior of
  heel
• Can lead to small tears within the tendon