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Symptoms of disease - pain in ankle

Ankle joint (ankle) is composed of three bones (shin, fibula and collision), which are connected tendons, forming a ginglymoidal joint. Group of muscles in the joint provide movement in it, mainly dorsal and plantar bending.
The bones of the ankle joint. Bone stability is provided by the joint crash bone, located between tibial bones. Collision bone front wider than the rear, which ensures the reliability of the connection with distal department of tibial bone and both ankles. The rear bending the wide part of the crash of the bone is in a slightly oval cut tibial bone. This is a tight connection allows the ankles legs carry significant stress that occurs when the rotational motion of the foot. When plantar flexion narrow rear crash bones takes between-ankle the groove that allows you to save mobility in the joint and excludes the occurrence of damage due to the impact of rotational forces. In view of the anatomical features of the joint rear bending is accompanied by physiological partial feet outwards, and lantar bending - partial inwards.
The ligaments of the ankle joint. Bone structures of the ankle joint joined the three groups of the ligaments. Interior collateral, or deltoid, a bundle is a thick, triangular tape, which provides fixation of ankle joint with medial side. The bundle has the surface and deep layers of fibers originating from the broad, short and strong medial ankles. The surface layer is held in the sagittal plane and attached to of the navicular and crash the bones, but the deep layer is more horizontal position and fixed to the medial surface of a crash bones.
Ankle outside reinforced front and back tara-peroneal ligaments, as well as calcaneal-calf ligament. He walked along the outside of the ankle, these bundles prevent the lateral displacement of the crash bones.
In the lower third of the shin thigh bones connected to each other syndesmosis, the front and rear tibiofibular ligaments, and the rear of the transverse ligament. Front and rear tibiofibular bundles contain fiber, passing between the edges of the tibia bones of the front and rear. Lower transverse ligament is a group of fibers that support the lowback part of the ankle joint. And finally, interosseous bundle is simply the lower part of the interosseous membrane. It provides strength tibiofibular connection.
The muscles of the ankle joint. In the field of the ankle joint is four tendon-muscle case. In front tibial case are located a long extensor of the fingers and long extensor of the thumb, which are above the ankle, and contribute to the back bending in it. In the middle part of the (average tibial(big) case) long flexor fingers and long flexor of thumb are behind medial ankles and contribute to the turn of foot. Located in the back of the case soleus and calf muscles provide plantar bending. Lateral pouch contains a long and a short peroneal muscles, passing behind the outside of the ankle and participating in the plantar flexion and entering the foot.
The nerves and blood vessels of the ankle joint. The blood supply of the ankle joint and foot are vessels from the basin of the external iliac artery - front and rear tibial(big) and calf arteries. Innervation are branches of the sciatic nerve.
In conclusion it should be noted that the ankle joint is a ring, composed tibial and crash bones, interconnected by a three broad groups of ligaments. All injuries of the ankle joint is defined pathological offset crash bones, concluded in a joint fork. Offset crash bones has a direct or indirect impact on the ankles or lower division tibial bone, resulting in damage occur. If this is a simple gap rings, then move the crash bones may not happen, because the joint is held by ligaments. Damage of ligaments or broken ankles may be accompanied by an offset crash bones. The knowledge of these anatomical relationships it is important to assess the stability under any of the fault of the ankle joint.
Often pain in ankle are caused by one of two reasons: either arthritis or partial joint with the subsequent development of arthrosis. Tell one from the other is quite simple: arthritic inflammation of the ankle joint occurs, as a rule, on the background of inflammation of the other joints. Himself ankle joint becomes inflamed and swell up, that is, on a level place - without trauma. Pain in ankle arthritis more pronounced in the night (at about 3-4 o'clock in the morning), and the day when walking, the pain is felt, but less intensively.

Which diseases there is pain in ankle

Causes of pain in ankle:

1. Injuries of the ankle joint and foot.
Patients with these injuries make up the largest contingent of patients with injuries. In descending order by frequency of victims are distributed as follows: sprains ankle joint fractures, external ankle and fractured V metatarsal bones, fractures of both ankles and the rear edge of the tibial bone fractures of fingers foot metatarsus, fractures of the heel bone, bone tarsus, dislocations of the foot. The mechanism of injury: a sudden tuck foot inwards or outwards, falling from the height of the heels, falling on the foot of heavy objects (fractures metatarsus, phalanxes of fingers, stop, etc.).
Symptoms:
- A sprained ankle ligament. Developing rapidly swelling due to hemorrhage (from inside or the outside of the ankle joint, sharp pain in the ankle when supination (tuck foot inside). At a palpation under the ankles - a sharp pain. If at the same time with a sprained ligaments is broken V metatarsal bones, there is determined a sharp pain on palpation of its foundation.
- Fracture the outside of the ankle. The clinical picture is the same as stretching of the ankle joint, but at a palpation morbidity is not only below the ankle, but also in the field of the ankles.
- Broken both ankles with partial foot. Joint sharply increased in volume, an attempt to movements causes considerable pain. Foot shifted outwards and inwards or posterior, depending on the type of incomplete dislocation. Patients may feel crepitus of the fragments. The palpation of the outer and inner ankle reveals the pain in ankle, often determined by the defect between the fragments of bone.
- Broken heel bone. Heel sharply thickened and turned outwards. When a fracture with displacement also flattened the arch of the foot.
Stand on the foot of the patient could not because of the severe pain in ankle. The load on the foot of the causes of sharp pain. Movement in ankle are limited because of the pain in the heel, but possible.
- Broken diaphyses metatarsus causes the formation of an extensive bruises on the dorsal foot ("stop, like a pillow"), the flattening of the longitudinal arch of the foot; there was a sharp pain in ankle when the load is in the front part of the foot and by palpation.
- Dislocations and subluxations in ankle combined with broken ankles, dislocation may occur at the place where the crash and the heel bone (subtalar dislocation of the foot). In this case there are significant thickening and deformation of the ankle joint and calcaneal region. Heel turned inside. Dislocations of bones tarsus, metatarsus arise in a pinch foot and cause its deformation with a performance of the dislocated bones to the rear or the side. It is noted an extensive hematoma of the rear foot.
Subluxation of the ankle joint usually happens in an obese people or people with weak ligamentous machine. The weakness of ligaments leads to the fact that when a person walks twists his ankle. Usually after the flap feet arises traumatic swelling of the joint, which is in power saving mode goes for two or three weeks. And if the injury of the ankle wore a single character, the joint completely restored within one-two months.
Unfortunately, some people ankle ligaments are so weak that can happen repeated subluxations of the joint. After several subluxations structure of cartilage in the joint violated, and this, in turn, can lead to arthrosis;

2. Deforming arthrosis of the ankle joint is a serious disease of locomotor system, leading to a reduction of the disability of the person and disability. Best place to buy Cenforce https://bestpricepharmacyfinder.com/erectile-dysfunction/cenforce-sildenafil-citrate-best-price/ USA, UK, AU. This term refers also osteoarthritis, osteoarthrosis and some other diseases.
In most cases, deforming arthrosis is the result of a bout of severe injury to one or several of its anatomical components - outer and inner ankle, tibial bone, crash bones. As a result of the trauma of the surface of the bones within the joint, become rough, which leads to violation of the slip of the articular surfaces and their additional trauma in motion.
Manifestations of deformative arthrosis varied. Pain in ankle and the muscles of the legs, swelling of the joint, restriction of mobility in it, violation of the gait, the limitation of walking long distances - this is an incomplete list of the suffering experienced by the patient with deforming arthrosis.

Which doctor should I contact if there is a pain in ankle

• Traumatologist
• Rheumatologist

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.