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Ankle Impingement Caused by an Intra-articular Plica: A Report of 2 Cases
Andrew J Rosenbaum1, Rock G Positano1, Rock C J Positano1
1Albany Medical College, Division of Orthopaedic Surgery, Albany, New York (AJR)Joe DiMaggio Sports Medicine Foot and Ankle Center, Hospital for Special Surgery, New York (RGP)NY College of Podiatric Medicine, New York (RCJP)Hospital for Special Surgery, New York (JSD).
Unlabelled:
Entrapment of soft tissues in the anterolateral gutter of the ankle can cause impingement. When symptomatic, patients complain of chronic ankle pain exacerbated with dorsiflexion. Symptoms of instability and a history of recurring ankle sprains are common findings. Plain radiographs and magnetic resonance imaging may assist clinicians in identifying associated pathology. We present 2 cases of ankle impingement occurring in the setting of equivocal examination and imaging findings. In both cases, arthroscopy revealed a likely congenital, intra-articular plica.
Levels Of Evidence:
Therapeutic, Level IV: Case Study.
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