ossification centers of the ankle

Ossification centers of the ankle vary in timing from reference-to-reference but an approximation 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
  • fibula shaft: 8 weeks in utero
  • distal fibular: 6-12 months
Talus
  • 6 months in utero
Calcaneus
  • 3 months in utero
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