Ossification centers of the ankle

Last revised by Dr Yair Glick on 20 Oct 2021

Ossification centers of the ankle vary in timing from reference to reference but an approximation of their appearance is listed below.

Distal tibia
  • tibial shaft: 7 weeks in utero
  • distal tibia: 4-12 months
    • medial malleolus forms from the distal tibial epiphyses at 7-10 years
Distal fibula
  • fibular shaft: 8 weeks in utero
  • distal fibula: 6-12 months
Talus
  • 6 months in utero
Calcaneus
  • 3 months in utero

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Cases and figures

  • Figure 1: tibia ossification centers (Gray's illustration)
    Drag here to reorder.
  • Figure 2: fibula ossification centers (Gray's illustration)
    Drag here to reorder.
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