ABSTRACT

The ankle is particularly vulnerable to trauma. The bones of the ankle are subcutaneous. The soft-tissue envelope consists of only skin, tendon, and neurovascular structures anterior, lateral, and medial to the joint. Only in the posterior quadrant is there a modest muscular envelope. In addition, the ankle joint does not tolerate deformity or articular incongruity after trauma. Studies have shown that this leads to pain and progressive ankle arthrosis (1-3).