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Posterior Ankle Impingement and Flexor Hallucis Longus Pathology
B Dale Sharpe1, Brian D Steginsky2, Mallory Suhling3
1Residency Program, OhioHealth Orthopedic Surgery, 5100 West Broad Street, Columbus, OH 43228, USA.
Clinics in Sports Medicine
|September 7, 2020
Summary
Posterior ankle impingement syndrome, often seen in athletes, causes pain from bony or soft tissue pinching during ankle plantar flexion. This review covers its causes, diagnosis, and treatment options.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomy
Background:
- Posterior ankle pain is a frequent complaint with diverse causes.
- Posterior ankle impingement syndrome involves pinching of structures in the back of the ankle during plantar flexion.
- This condition commonly affects athletes engaged in sports requiring forceful or repetitive ankle movements.
Purpose of the Study:
- To review the pathology, diagnosis, and treatment of posterior ankle impingement syndrome.
- To discuss the role of the flexor hallucis longus tendon in this condition.
- To outline conservative and surgical management strategies.
Main Methods:
- Literature review of posterior ankle impingement syndrome.
- Discussion of anatomical structures involved.
- Overview of diagnostic approaches.
- Summary of treatment modalities.
Main Results:
- Posterior ankle impingement is characterized by pain during terminal plantar flexion.
- Flexor hallucis longus pathology is a significant contributor.
- Diagnosis relies on clinical examination and imaging.
- Treatment ranges from conservative measures to surgical intervention.
Conclusions:
- Posterior ankle impingement syndrome requires a thorough understanding of its varied etiologies.
- Effective management involves accurate diagnosis and tailored treatment plans.
- Addressing flexor hallucis longus involvement is crucial for successful outcomes.
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