
The ankle is a remarkably complex structure in the human body, designed intricately to bear the weight of the body while providing flexibility and mobility. As a hinge between the leg and the foot, the ankle plays a vital role not only in everyday activities such as walking and running but also in more dynamic actions required in sports and rigorous physical tasks. Its functionality arises from a sophisticated arrangement of bones, ligaments, and muscles, each contributing to the joint’s stability and movement.
Understanding the anatomy of the ankle is fundamental for anyone looking to maintain ankle health, manage injuries, or optimize physical performance. The ankle’s ability to withstand substantial forces makes it both strong and susceptible to injury. By diving into the details of the ankle’s bone structure, we can better appreciate its capabilities and limitations, leading to more effective prevention and treatment of ankle-related issues.
This guide will explore the primary bones that constitute the ankle, identify common injuries, and discuss the importance of proper care and rehabilitation. Whether you are an athlete, a medical professional, or simply curious about your body’s mechanics, this detailed examination will provide you with insights into one of the most crucial joints in human mobility.
What are the 7 Ankle Bones Called?
The Tarsal Bones
The ankle joint is primarily formed by the interaction of seven tarsal bones. These include:
- Talus – the uppermost bone that makes the lower part of the ankle joint, articulating with the tibia and fibula.
- Calcaneus – also known as the heel bone, it is the largest ankle bone and forms the heel.
- Navicular – located in front of the talus.
- Medial Cuneiform – Positioned at the medial side of the foot, the medial cuneiform is the largest of the three cuneiform bones.
- Intermediate Cuneiform – Located centrally among the cuneiform bones
- Lateral Cuneiform – Situated on the lateral side of the foot, between the intermediate cuneiform and the cuboid bone.
- Cuboid – these four bones are situated between the navicular and the metatarsals and are crucial in foot mobility.

What’s the Bone that Sticks Out on Your Ankle (the bone bump on your ankle)?
The Malleoli – Critical Anchors of the Ankle Joint
The malleoli are prominent bony protrusions on either side of the ankle, formed by the lower ends of the tibia and fibula, the two long bones of the lower leg. Each malleolus serves as a crucial anchor point for ligaments and plays a significant role in stabilizing the ankle joint. There are two malleoli:
- Medial Malleolus: This is the bony prominence on the inner side of the ankle, which is part of the tibia, the larger of the two leg bones. The medial malleolus is more than just a structural feature; it is a critical component in forming the ankle joint by providing a surface that articulates with the talus bone. It also serves as an attachment point for several important ligaments, including the deltoid ligament, which is vital for medial stability of the ankle.
- Lateral Malleolus: Found on the outer aspect of the ankle, this is the lower end of the fibula. The lateral malleolus extends lower than the medial malleolus, providing lateral stability to the ankle. It is linked to the talus and calcaneus via the anterior talofibular ligament, the posterior talofibular ligament, and the calcaneofibular ligament. These ligaments are key to preventing excessive side-to-side movement of the ankle and are commonly involved in ankle sprain injuries.
Functional Importance of the Malleoli
The design of the malleoli allows for a wide range of motion while maintaining stability. The joint surfaces that interact with the talus are covered with cartilage, which helps in smooth movement and absorbs impact during activities like walking, running, and jumping. The unique shape and positioning of the malleoli help confine the motions of the talus within the ankle joint, facilitating movements such as dorsiflexion (lifting the foot upwards) and plantarflexion (pointing the foot downwards), while restricting unnecessary and potentially harmful rotations.
Common Injuries Involving the Malleoli
Due to their prominent position and critical role in ankle mechanics, the malleoli are susceptible to various injuries. Fractures of the malleoli can occur from direct impact or as a result of twisting injuries to the ankle. Such fractures are often accompanied by ligament tears due to the same traumatic forces. Malleolar fractures are serious injuries that can affect ankle stability and alignment, requiring prompt and appropriate medical intervention to ensure proper healing and to prevent long-term dysfunction.
Understanding the anatomy and function of the malleoli not only aids in recognizing how the ankle works but also in understanding the mechanisms and treatments of ankle injuries. This knowledge is essential for athletes, those involved in physical occupations, and anyone interested in maintaining optimal ankle health.
What are the Fourteen Ankle Bones?
In a broader view, the ankle and foot complex consists of 14 bones when considering both the tarsal bones and the proximal parts of the foot. The seven tarsal bones mentioned above, combined with the five metatarsal bones and the two bones of the first toe (proximal and distal phalanges), make up this total.
The Importance of Ankle Health and Rehabilitation
Ankle injuries are prevalent and can range from minor sprains to severe fractures and dislocations. Proper care, including timely rehabilitation, is crucial for recovery and to prevent further injury. Programs like HEM Ankle Rehab offer comprehensive solutions to heal and strengthen ankle injuries.
To learn more about effective at-home rehab solutions for ankle injuries, including sprains and chronic ankle pain, consider exploring HEM Ankle Rehab, an at-home program designed to heal any new or old ankle injury.
Conclusion
The ankle’s complex structure, composed of bones, ligaments, and tendons, requires careful attention to maintain its health and functionality. Whether you’re an athlete, someone recovering from an ankle injury, or just looking to understand more about your body, knowing about your ankle bones and how to care for them can make a significant difference.
For additional resources on dealing with ankle injuries, you may find these articles helpful:
Understanding and caring for your ankle can help you lead a more active and pain-free life. By being informed and proactive, you can manage and potentially prevent ankle issues before they become serious.