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A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Posterior Ankle Impingement Syndrome.

Megan A Ishibashi1, Matthew D Doyle1, Craig E Krcal2

  • 1Silicon Valley Reconstructive Foot and Ankle Fellowship, Palo Alto Medical Foundation, 701 E EL Camino Real, Mountain View, CA 94040, USA.

Clinics in Podiatric Medicine and Surgery
|November 11, 2022
PubMed
Summary
This summary is machine-generated.

Posterior ankle impingement, common in athletes like dancers and soccer players, stems from repetitive ankle stress. Diagnosis involves physical tests and imaging, with non-surgical treatments focusing on rest, therapy, and injections.

Keywords:
Flexor hallucis longus tenosynovitisOs trigonum syndromePosterior ankle impingementStieda process

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • Posterior ankle impingement commonly affects athletes involved in activities requiring repetitive push-off and hyperplantarflexion.
  • It arises from chronic, repetitive trauma to the posterior ankle structures, including the capsule, flexor hallucis longus tendon, and os trigonum.

Purpose of the Study:

  • To outline the etiology, diagnostic methods, and non-surgical management of posterior ankle impingement.

Main Methods:

  • Clinical evaluation focusing on posterior compartment muscle assessment.
  • Radiographic imaging to detect osseous abnormalities.
  • Magnetic Resonance Imaging (MRI) for soft tissue structure evaluation.

Main Results:

  • The condition is linked to dynamic, repetitive ankle movements.
  • Imaging is crucial for identifying bony and soft tissue pathologies.
  • Physical examination aids in isolating affected structures.

Conclusions:

  • A comprehensive workup including physical examination and advanced imaging is essential for diagnosing posterior ankle impingement.
  • Non-surgical interventions such as activity modification, physical therapy, and corticosteroid injections are primary treatment options.