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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Updated: May 24, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

Update on anterior ankle impingement.

Tanawat Vaseenon¹, Annunziato Amendola

¹Department of Orthopaedic, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand, tvaseenon@yahoo.com.

Current Reviews in Musculoskeletal Medicine

|March 10, 2012

Summary

This summary is machine-generated.

Anterior ankle impingement, caused by soft tissue or bone spurs, leads to chronic pain and limited mobility. Surgical debridement offers relief when conservative treatments fail, provided there are no severe associated joint issues.

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Area of Science:

Orthopedics
Sports Medicine
Radiology

Background:

Anterior ankle impingement involves soft tissue or osteophyte formation at the anterior distal tibia and talar neck.
It commonly results from trauma or repetitive ankle dorsiflexion, causing pain, swelling, and limited motion.
Diagnosis relies on clinical findings for soft tissue impingement and imaging for bony impingement.

Purpose of the Study:

To review the causes, diagnosis, and management of anterior ankle impingement.
To highlight the role of imaging modalities in diagnosing impingement.
To discuss treatment options, including conservative and surgical interventions.

Main Methods:

Review of current literature on anterior ankle impingement.
Analysis of diagnostic imaging techniques, including MRI and MR arthrography.
Evaluation of nonoperative and operative treatment outcomes.

Main Results:

Imaging is crucial for bony impingement but less so for soft tissue impingement.
MR imaging and MR arthrography aid in complex or doubtful diagnoses.
Nonoperative management includes rest, physical therapy, and shoe modification.
Arthroscopic debridement provides significant symptomatic relief for eligible patients.

Conclusions:

Anterior ankle impingement requires a thorough clinical and imaging assessment.
Conservative management should be attempted first.
Arthroscopic debridement is an effective treatment for refractory cases without significant degenerative changes or associated injuries.