Humans have two ankles on each foot:
- Outer ankle (Lateral malleolus)
- Inner ankle (Medial malleolus)
The outer ankle is part of the fibula (Fibula), while the inner malleolus represents the end of the tibia (Tibia) represents. In healthy people, the inner ankle is physiologically slightly higher than the outer ankle.
Together, the two ankles - known as the malleolar fork - form the socket for the upper ankle.
By moving the ankle roll in this socket, the foot can turn 20° lifted and around 30° be lowered, it is therefore a Hinge joint.
This joint is due to additional Tapes reinforced on both sides:
Outer band consisting of 3 parts:
Talofibular anterior ligament and posterius and Calcaneofibular ligament
- Inner band (Medial ligament, Delta band)
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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without an operation with a complete restoration of performance.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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The broken ankle (Malleolar fracture) is one of the most common lower extremity injuries. Often these fractures are caused by ankle twisting. This either only results in ligament injuries or parts of the ankle break off.
If you bend outwards, both ankles can break. If you bend inwards, only the outer ankle is more likely to be affected (outer ankle fracture). The inner ankle breaks slightly more often than the outer ankle, but both ankles can be affected (bimalleolar fracture).
When a bone breaks, there is severe pain and swelling in the ankle area, and the movement of the foot can be restricted. The break lines are then shown in the X-ray image.
Depending on the extent of the fracture and the misalignment, a plaster cast or an operation is used.
Read more about this topic: Achilles heel
External ligament rupture
The External ligament rupture (Ankle distortion) is often caused by Twist outward at Sports (especially Soccer, volleyball, basketball) and is the most common ligament injury of the human. One differentiates between one Overstretching/ strain and the Tape tear.
Such injuries always lead to the formation of a Hematoma with a swelling of the surrounding tissue and a resulting Restriction of movement. It is also particularly painful print on the outer ankle and if overstretched (sole of the foot inward).
What is important is an absolute discharge and cooling of the injured ankle. There should always be one X-ray be made so as not to miss any broken bones.
Is the outer ligament just stretched and the joint stable, should be elastic support bandage be created. If the instability is low, the 30 days a Immobilization by special rails respectively.
Is the joint unstable or the ligament on the bone is torn out, a surgery with suture of the ligament or suture to the bone. In addition, there should always be a pphysiotherapeutic exercise of the joint are made to Stiffeners to prevent.
When the joint can be fully loaded again depends on the healing process, but this can be up to 3 months last.