Valgus Ankle


The valgus ankle is a complex ankle deformity associated with angular separation of malposition of the ankle. 

What are the origins of this condition?

  • Posterior tibial tendon dysfunction
  • Deltoid ligament injury
  • Fracture trauma
  • Chronic overload

Normal Ankle Alignment

One needs to differentiate between ankle valgus (shown here) and hindfoot valgus. It is imperative to obtain a standing AP radiograph of the ankle when evaluating foot problems


Clinical presentation • In the standing position, the medial malleolus is unduly prominent, the heel and hindfoot are angled laterally, relative to the calf • A common finding is subfibular tenderness due to impingement. • There may be concomitant hindfoot deformity, more commonly planovalgus than cavovarus.