{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.ankle","code":"thing-q168002","url":"https://ver.cy/models/thing/q168002/","name":"ankle","alternateNames":["right ankle","left ankle"],"kind":"thing","status":"published","version":"0.2.0-wave.5","language":"en","classifiers":{"family":"Thing Registry","category":"Physical world and living systems","entryKind":"thing","plane":"PHY","domain":["PHY.LIV"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"The region where the foot and the leg meet, including the ankle joint (talocrural joint) between the tibia, fibula and talus and the surrounding ligaments and tendons; it allows the foot to flex up and down.","purpose":"Let an agent describe the ankle's anatomy and common conditions, point to clinical guidance, and route injuries to clinicians without diagnosing.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["The talocrural joint (articulatio talocruralis) is a synovial hinge joint for dorsiflexion and plantarflexion; inversion and eversion mainly occur at the subtalar joint.","Stabilised by the lateral ligament complex, the medial deltoid ligament and the distal tibiofibular syndesmosis; lateral sprains are the most common injuries.","Crossed by the Achilles, tibialis anterior, tibialis posterior and fibular tendons."],"structure":{"bundles":[{"id":"anatomy","name":"Anatomy","description":"Structure.","layers":[{"id":"bones-and-joints","name":"Bones and joints","description":"Tibia, fibula, talus.","findings":[{"id":"joint","name":"Joint","description":"Bones and joint type.","questions":[{"text":"Which bones form the joint?","kind":"definition"},{"text":"Which movements does it allow?","kind":"definition"}]}]},{"id":"soft-tissues","name":"Soft tissues","description":"Ligaments and tendons.","findings":[{"id":"ligament","name":"Ligament","description":"Name and role.","questions":[{"text":"Which ligaments stabilise the ankle?","kind":"definition"},{"text":"Which tendons cross it?","kind":"definition"}]}]}]},{"id":"function","name":"Function","description":"Movement and load.","layers":[{"id":"range-of-motion","name":"Range of motion","description":"Dorsiflexion and plantarflexion.","findings":[{"id":"range","name":"Range","description":"Degrees.","questions":[{"text":"What is the range of motion?","kind":"measurement"},{"text":"How was it measured?","kind":"provenance"}]}]},{"id":"load","name":"Load","description":"Weight bearing.","findings":[{"id":"load","name":"Load","description":"Forces in gait.","questions":[{"text":"What loads act in walking or running?","kind":"measurement"},{"text":"Which source?","kind":"provenance"}]}]}]},{"id":"conditions","name":"Conditions","description":"Injuries and disease.","layers":[{"id":"injuries","name":"Injuries","description":"Sprains and fractures.","findings":[{"id":"injury","name":"Injury","description":"Type and grade.","questions":[{"text":"Which injury is described, by which clinician?","kind":"provenance"},{"text":"Which classification applies?","kind":"provenance"}]}]},{"id":"chronic-conditions","name":"Chronic conditions","description":"Instability and arthritis.","findings":[{"id":"condition","name":"Condition","description":"Diagnosis and course.","questions":[{"text":"Which chronic condition is present?","kind":"provenance"},{"text":"Which guideline applies?","kind":"provenance"}]}]}]},{"id":"care","name":"Care","description":"Assessment and treatment.","layers":[{"id":"assessment","name":"Assessment","description":"Decision rules and imaging.","findings":[{"id":"assessment","name":"Assessment","description":"Rule and finding.","questions":[{"text":"Which decision rule was applied?","kind":"provenance"},{"text":"Was imaging indicated?","kind":"boundary"}]}]},{"id":"rehabilitation","name":"Rehabilitation","description":"Recovery.","findings":[{"id":"rehabilitation","name":"Rehabilitation","description":"Programme and timing.","questions":[{"text":"Which rehabilitation programme is recommended, by whom?","kind":"provenance"},{"text":"When can activity resume?","kind":"boundary"}]}]}]}]},"agentConduct":{"may":["describe anatomy and general information"],"mustNot":["diagnose an injury","advise against seeking care"],"requiresHuman":["assessment of injuries by clinicians"]},"ethics":{"considerations":["safety of health information"],"affectedParties":["patients"]},"owners":{"steward":"nobody; a body region","roles":[],"masterSystems":["anatomy ontologies"]},"relations":[{"target":"Q112826975","type":"parent","note":"registry parent class"},{"target":"Q66516262","type":"parent","note":"registry parent class"},{"target":"lower limb","type":"related","note":"anatomy"},{"target":"talocrural joint","type":"contains","note":"joint"},{"target":"foot","type":"related","note":"adjacent region"},{"target":"ankle sprain","type":"related","note":"injury"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.ankle","Wikidata: Q168002 (https://www.wikidata.org/wiki/Q168002)","TA2: 165 Talus (ankle region)"]},"properties":{"applicability":"required","items":["dorsiflexion: about 10-20 degrees - reference range; depends on method, knee position and weight bearing","plantarflexion: about 40-55 degrees - reference range"]},"recognition":{"applicability":"required","items":["Medial and lateral malleoli on either side","The narrow region above the foot with bony bumps on each side (malleoli)."]},"capabilities":{"applicability":"required","items":["describe bones, joints and ligaments","describe common injuries such as sprains and fractures","explain clinical decision rules in general terms","point to clinical guidance"]},"hazards":{"applicability":"required","items":["Sprains and fractures","Chronic instability","Arthritis"]},"interfaces":{"applicability":"required","items":["Terminologia Anatomica (FIPAT)","Ottawa ankle rules, a clinical decision rule for imaging"]},"context":{"applicability":"required","items":["Supporting body weight and allowing walking, running and balance.","left ankle","right ankle"]}},"sources":[{"title":"Q168002","url":"https://www.wikidata.org/wiki/Q168002","note":"identity of the registry item, labels and sitelinks"},{"title":"Ankle","url":"https://en.wikipedia.org/wiki/Ankle","note":"general description of the subject"},{"title":"Biomechanics of the ankle","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4994968/","note":"Anatomy, load-bearing function, coupled joint movement, dorsiflexion of 10-20 degrees and plantarflexion of 40-55 degrees."},{"title":"Terminologia Anatomica, Second Edition, Part 1","url":"https://cdn.dal.ca/content/dam/dalhousie/pdf/library/FIPAT/TA2/FIPAT-TA2-Part-1.pdf","note":"TA2 identifier 165 for Ankle and the terminology's issuing body."},{"title":"Acute Ankle Sprain","url":"https://ncbi.nlm.nih.gov/books/NBK459212/","note":"Lateral sprain frequency, stabilising ligaments, regional anatomy and chronic instability."},{"title":"Anatomy of the ankle ligaments: a pictorial essay","url":"https://pmc.ncbi.nlm.nih.gov/articles/2855022/","note":"Lateral, medial and syndesmotic ligament anatomy."},{"title":"Dr Ian Stiell Group","url":"https://ohri.ca/en/find-researcher/istiell","note":"Ottawa Ankle Rules as clinical decision rules concerning radiography after ankle or midfoot injury."}],"openQuestions":[],"resources":{"spec":"/models/things/publications/thing-q168002/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q168002/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-10-21T20:16:01Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"filled","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-21T20:17:08+00:00: completeness 1.00; sense: Wikidata description; 7 live sources; review by codex: pass"},"score":1.0}}