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Ankle instability and impingement.

Anthony D Watson1

  • 1Greater Pittsburgh Orthopaedic Associates, 5820 Centre Avenue, Pittsburgh, PA 15206, USA. watsonad@verizon.net

Foot and Ankle Clinics
|March 14, 2007
PubMed
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Ankle instability and impingement, common after ankle sprains, often need surgery. Ankle ligament reconstruction and impingement treatment are effective, with techniques varying by severity and location.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Ankle sprains can lead to chronic ankle instability and impingement.
  • These conditions significantly impact patient mobility and quality of life.
  • Accurate diagnosis relies heavily on clinical history and physical examination.

Purpose of the Study:

  • To review the diagnosis and management of ankle instability and impingement following ankle sprains.
  • To outline surgical indications and preferred treatment modalities for these ankle conditions.
  • To emphasize the effectiveness of surgical interventions for ankle instability and impingement.

Main Methods:

  • Review of current literature on ankle instability and impingement.
  • Analysis of diagnostic criteria based on patient history and physical findings.

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  • Evaluation of surgical techniques, including arthroscopic and open procedures for ankle impingement and ligament reconstruction.

    • Main Results:

    • Ankle instability may improve with physical therapy but often requires surgical reconstruction, preferably anatomic.
    • Ankle impingement typically necessitates surgical treatment.
    • Arthroscopic treatment is suitable for anterior soft tissue and mild tibial bony impingement; open procedures are required for severe anterior bony or any posterior impingement.

    Conclusions:

    • Ankle ligament reconstruction and surgical treatment of ankle impingement are reliable and effective.
    • Treatment strategies should be tailored to the specific type and severity of ankle instability or impingement.
    • Prompt and appropriate surgical intervention can restore function and alleviate pain in patients with post-sprain ankle complications.