First off, the ankle is made up of four main bones: tibia, fibula, talus, and calcaneus. It includes the lower, or distal, ends of the tibia and fibula. On those distal ends are two bony landmarks known as the medial malleolus on the tibia and the lateral malleolus on the fibula. Medial refers to the structure being located closer to the spine/midline and lateral refers to the location as farther from midline. Therefore, the medial and not the lateral malleoli is located on the distal end of the tibia because the tibia is the more medially located bone. Therefore the medial malleoli goes hand in hand with the tibia. These bony landmarks are protrusions that exist horizontally and inferiorly which help to increase the range of motion of the tendons in the muscles that run posterior to them. In addition, the talus is another bone that sits directly under and articulates with the tibia. The glossy covering on the joint surface articulates with the similar glossy undersurface of tibia allowing the ankle to glide smooth and effortlessly. (Foot and Ankle Anatomy, 2011). The calcaneus bone sits directly below the talus and is otherwise known as the heel bone.
The articulation of the distal tibia and superior talus along with the distal, medial fibula with the lateral talus all work together