Learning objectives
The aims of this poster are to:
Provide a diagnostic approach to the patient presenting with medial ankle pain
Present a pictorial review of the various causes of medial ankle pain we have encountered in our institution
Background
Introduction
Medial ankle pain is a common presentation in the orthopaedic setting.
The differential diagnosis is wide,
and diagnosis can be challenging clinically.
The soft tissue anatomy of the medial ankle is complex and is comprised of ligaments and tendons which are closely related both anatomically and functionally.These soft tissue structures may be injured in the acute setting or may be subject to chronic degeneration.
Medial ankle pain may also be caused by acute or chronic bony or joint pathology or neuropathy due to nerve...
Findings and procedure details
Common causes of medial ankle pain identified in our department:
SOFT TISSUES
1.
MEDIAL TENDONS
Tibialis posterior tendon
Anatomy
The tibialis posterior is the largest and most anterior of the flexor tendons on the medial aspect of the ankle and is one of the major supporting structures of the medial arch of the foot.
The tibialis posterior tendon is the most superficial structure coursing behind the medial malleolus.
It is held within the retro-malleolar groove by a strong fibro-osseous tunnel and the flexor retinaculum (Figures...
Conclusion
Assessment of the patient presenting with medial ankle pain can be challenging due to plethora of pathologies that can arise in this region.
Knowledge of the anatomy of the medial ankle and systematic evaluation of the various soft tissue,
nerve and bony structures in this region is key to identifying the underlying cause of pain.
Personal information
Dr Emer McLoughlin
MSK Radiology Fellow
Royal Orthopaedic Hospital,
Birmingham,
UK
[email protected]
References
References
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Posterior tibial tendon dysfunction: an overlooked cause of foot deformity.
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Garde A.
Tibialis posterior tendon and deltoid and spring ligament injuries in the elite athlete.
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[4] Goucher NR,
Coughlin MJ,
Kristensen RM.
Dislocation of the posterior tibial tendon: a literature review and presentation of two cases.
Iowa Orthop J....
