Ankle Impingement Syndromes
Section snippets
Anterior impingement syndrome
Anterior impingement is a relatively common cause of chronic ankle pain seen particularly in such athletes as ballet dancers and soccer players.4, 5, 6 Symptoms are generally progressive and are caused by impingement of hypertrophied soft tissue and bony spurs within the anterior ankle joint.
Anterolateral impingement
Anterolateral impingement is a relatively uncommon cause of anterolateral ankle pain caused by entrapment of hypertrophied soft tissues within the anterolateral recess of the ankle.
Anteromedial impingement
An uncommon cause of chronic ankle pain, anteromedial impingement rarely occurs as an isolated finding.36, 37
Posteromedial impingement
Until recently posteromedial impingement was one of the least described ankle impingement syndromes and accordingly its etiology was less well understood. Although there are few reported series they have identified relatively characteristic imaging findings.
Posterior impingement
Posterior impingement syndrome encompasses a group of pathologies that are characterized by posterior ankle pain in plantar flexion. Symptoms result from compression of the talus and soft tissues between the posterior tibia and calcaneum. Other terms, such as “os trigonum syndrome,” “talar compression syndrome,” and “posterior block,” have also been used to describe the same collection of signs and symptoms. Posterior ankle pain is a common symptom and may be caused by a range of soft tissue
Summary
The ankle impingement syndromes are an established cause of ankle dysfunction within the general population and within the athletic community. In many cases the diagnosis is clinical, although imaging has a significant role to play particularly in the exclusion of alternative or concomitant pathology or when the diagnosis is in doubt. For most patients conservative management or nonsurgical intervention allows resumption of their previous level of activity, even in elite athletes. Surgical
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Cited by (36)
Imaging Manifestations of Ankle Impingement Syndromes
2018, Radiologic Clinics of North AmericaCitation Excerpt :Soft tissue laxity due to prior ankle inversion injury can allow increased anterior translation of the talar dome, allowing increased contact with Basset ligament. Resulting inflammatory and hypertrophic changes to the ligament can further limit the range of dorsiflexion and worsen impingement symptoms.9,17 Clinically, patients commonly complain of anterolateral ankle pain worsened by inversion or eversion while the foot is in dorsiflexion.
The role of bone marrow edema on osteochondral lesions of the talus
2018, Foot and Ankle SurgeryCitation Excerpt :Bone marrow edema (BME) is a unique imaging characteristic of osteochondral lesion of the talus (OCLTs) identified on MRI surrounding the lesion [1,2].
The imaging findings of impingement syndromes of the lower limb
2017, Clinical RadiologyImaging of Ankle Impingement Syndromes
2017, Canadian Association of Radiologists JournalEndoscopic management of posterior ankle impingement syndrome—A case report
2017, Journal of Clinical Orthopaedics and TraumaCitation Excerpt :On subsequent follow up at the end of 24 weeks and 52 weeks the patient was symptom free and able to play competitive football. PAIS is an ankle pathology more frequently seen in professionals involved in repeated ankle forced planter flexion activities.8 Os trigonum leading to PAIS is one of the most common etiologies.5,8