Introduction
Synovial joint- Hinge variety Involves: 1.Talus of foot 2.Tibia 3.Fibula Movements- Dorsi flextion of foot & Planter flexion of foot
Ankle joint
Tibia
Lower end Includes 5 surfaces 1. Ant surface 2.medial surface 3. Lateral surface 4. Inferior surface 5. Posterior surface Blood supply: Nutrient artery
Fibula
Lower end ( lateral malleolus) It has 4 surfaces 1. Anterior 2. Posterior 3. Medial 4. Lateral
Talus
Parts- 1.Head 2.Neck 3.Body Head Anterior surface articulates with navicular bone . Inferior surface articulates with calcaneum & spring ligament. Body Superior surface Inferior surface Medial surface Lateral surface
Attachments of Talus:
Dorsal surface Capsular ligament Neck of talus Ant.talofibular ligament Medial tubercle Deltoid ligament
Articular surfaces of ankle joint :
Upper Articular surface : 1. Lower end of tibia 2. Lower end of fibula 3. Transverse tibiofibular ligament Inferior Articular surface : Upper , medial & lateral aspects of tibia
Stability of Ankle joint is ensured by : 1.Close interlocking of articular surfaces. 2.Strong collateral ligaments. 3.Tendons that cross the joint. Depth of superior articular socket is formed by : 1.Medial & Lateral malleoli. 2.Transverse tibiofibular ligament
Factors that tend to displace tibia & fibula forward over the talus are : 1.Forward pull of tendons. 2.Pull of gravity. Displacement is prevented by : 1.Talus (wedge shape ) 2.Posterior border of lower end of tibia. 3.Inf.transverse tibio fibular ligament. 4.Tibio calcaneum,post.tibio talar,calcaneofibular & post.talofibular ligaments
Ligaments of Ankle Joint :
Joint is supported by : 1.Fibrous capsule 2.Medial/Deltoid ligament 3.Lateral ligament. Medial /Deltoid ligament : Attachments : Apex attached to medial malleolus. Based on inferior point of attachments medial ligament is divided into: 1.Tibio navicular part 2.Tibio calcaneal part 3.Post.tibiotalar part 4.Ant.tibiotalar part
Deltoid ligament
Lateral Ligament :
Consists of three separate ligaments : 1.Ant.talofibular ligament. 2.Post.talofibular ligament. 3.Calcaneofibular ligament.
Lateral ligament
Relations of Ankle Joint : Anteriorly :
Posterior Relations of Ankle Joint: