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US in ankle impingement syndrome.

Lionel Pesquer1, Stephane Guillo2, Philippe Meyer1

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Summary

Ankle impingement, often caused by sprains, leads to chronic pain and limited motion. This review covers anterior, posterior, and calcaneal peroneal types, exploring ultrasound imaging and guided treatments.

Keywords:
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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Ankle impingement syndrome is a frequent cause of chronic ankle pain and restricted motion.
  • It often arises from ankle sprains or repetitive microtrauma.
  • Syndromes include anterior, posterior, and calcaneal peroneal impingement, each with specific subtypes.

Purpose of the Study:

  • To evaluate the physiological and clinical aspects of the three main types of ankle impingement.
  • To assess the diagnostic and therapeutic utility of ultrasound (US) imaging in managing ankle impingement.
  • To review the role of US-guided interventions for ankle impingement.

Main Methods:

  • Literature review of physiological and clinical elements of ankle impingement syndromes.
  • Evaluation of diagnostic accuracy and therapeutic outcomes using ultrasound (US).
  • Analysis of US-guided treatment modalities for various impingement types.

Main Results:

  • Anterior impingement involves anterolateral, anteromedial, or anterior structures.
  • Posterior impingement affects posterior or posteromedial regions.
  • Calcaneal peroneal impingement is linked to planovalgus foot deformity.

Conclusions:

  • Understanding the distinct types of ankle impingement is crucial for accurate diagnosis.
  • Ultrasound (US) imaging offers valuable insights into impingement pathology.
  • US-guided treatments present a promising avenue for managing ankle impingement effectively.