Ossification centers of the ankle

Last revised by Yaïr 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
  • 6 months in utero
  • 3 months in utero

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