Ankle

Ankle arthrocentesis may be performed at either the subtalar joint (lateral approach) or the tibiotalar joint (medial approach). The subtalar joint is entered just below the tip of the lateral malleolus with the foot perpendicular to the leg ( Fig.278-6). The needle should be directed medially toward the joint space.

FIG. 278-6. Arthrocentesis of the ankle, lateral approach.

The tibiotalar joint is approached with the patient supine and the foot initially perpendicular to the leg. This position facilitates the location of a sulcus lateral to the medial malleolus and medial to the tibialis anterior and extensor hallucis longus tendons ( Fig.. 27.8-7.). The foot is then plantar flexed with the needle entering the skin overlying the sulcus. The needle should be angled slightly cephalad as it passes between the medial malleolus and the tibialis anterior tendon.

FIG. 278-7. Arthrocentesis of the ankle, medial approach.

Was this article helpful?

0 0
Spiritual Weight Loss Mentality

Spiritual Weight Loss Mentality

Awesome Ways To Get Over Your Mentality That Keeps you Overweight! This Book Is One Of The Most Valuable Resources In The World When It Comes To Results In Your Slim-down and Health Efforts! Day in day out we keep ourselves absorbed with those matters that matter the most to us. A lot of times, it might be just to survive and bring in some money. In doing so we at times disregard or forget about the extra matters that are essential to balance our lives. They’re even more essential to supply real meaning to our world. You have to pay attention to your wellness.

Get My Free Ebook


Post a comment