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Anterior Ankle impingement

Hayri Ogul, Yunus Guzel, Berhan Pirimoglu, Kutsi Tuncer, Gokhan Polat, Fatih Ergun, Recep Sade, Ummugulsum Bayraktutan, Ihsan Yuce, Mecit Kantarci
PURPOSE: To evaluate the tibiotalar joint capacity and the localisation, frequency and amount of extravasation in patients with extraarticular contrast material leakage into adjacent synovial compartments on ankle magnetic resonance (MR) arthrography. MATERIALS AND METHODS: Sites of extravasation were determined in the ankle MR arthrograms of 69 patients. Thirty-four patients without extraarticular contrast material leakage into locations unrelated to the injection path were included as a control group...
October 2016: European Journal of Radiology
Kyle P Lavery, Kevin J McHale, William H Rossy, George Theodore
Ankle impingement is a syndrome that encompasses a wide range of anterior and posterior joint pathology involving both osseous and soft tissue abnormalities. In this review, the etiology, pathoanatomy, diagnostic workup, and treatment options for both anterior and posterior ankle impingement syndromes are discussed.
2016: Journal of Orthopaedic Surgery and Research
Ronald G Ray
There are a number of variations in the intra-articular anatomy of the ankle which should not be considered pathological under all circumstances. The anteromedial corner of the tibial plafond (between the anterior edge of the tibial plafond and the medial malleolus) can have a notch, void of cartilage and bone. This area can appear degenerative arthroscopically; it is actually a normal variant of the articular surface. The anterior inferior tibiofibular ligament (AITF) can possess a lower, accessory band which can impinge on the anterolateral edge of the talar dome...
October 2016: Clinics in Podiatric Medicine and Surgery
Ellen Kemler, Karin M Thijs, Ilse Badenbroek, Ingrid G L van de Port, Arno W Hoes, Frank J G Backx
BACKGROUND: Acute lateral ankle ligamentous sprains (ALALS) are common injuries. This injury does not always have a favourable long-term outcome. Studies reporting the prognosis of ALALS after functional treatment are scarce. OBJECTIVE: To determine the prognosis of functionally treated ALALS, in terms of recurrent ALALS and residual symptoms. STUDY DESIGN: Retrospective cohort study. SETTING: Patients were recruited from 20 family practices, nine physical therapy practices, the emergency departments of a regional hospital and a university hospital...
August 17, 2016: Family Practice
Ashish Devgan, Rajesh Rohilla, Milind Tanwar, Aditya Jain, Karan Siwach, Radika Devgan
BACKGROUND: Arthroscopic debridement has been a gold standard procedure for anterior ankle impingement, both in cases of osseous and soft tissue impingement. There is sparse literature on comparative outcome with respect to functional results between the two types of impingement post-arthroscopic debridement. METHODS: Our study included 14 patients diagnosed as cases of anterior ankle impingement on the basis of clinical and radiological examination. They were segregated into two groups (on the basis of cause of impingement (osseous versus soft tissue))...
July 2016: Journal of Clinical Orthopaedics and Trauma
Norio Yamamoto, Kenichi Ogawa, Chuji Terada, Yoshiki Okazaki, Kazuo Munetomo, Tomoyuki Noda, Toshifumi Ozaki
OBJECTIVE: The objective of the study was to evaluate the effectiveness of the posterolateral minimally invasive plate osteosynthesis (MIPO) method for managing distal tibial or tibial shaft fractures with severe anterior and medial soft tissue injuries. MATERIALS AND METHODS: Five consecutive patients with three distal tibial and two tibial shaft fractures (three open fractures) at a level-1 trauma and tertiary referral center were retrospectively reviewed. All patients were definitively treated and followed to bone union...
August 2016: Injury
Michael J Beltran, Phillip M Mitchell, Cory A Collinge
BACKGROUND: Screws placed from posterior to anterior have been shown to be biomechanically and anatomically superior in the fixation of talar neck and neck-body fractures, yet most surgeons continue to place screws from an anterior start point. The safety and efficacy of percutaneously applied posterior screws has not been clinically defined, and functional outcomes after their use is lacking. METHODS: After institutional review board approval, we performed a retrospective review of 24 consecutive talar neck fractures treated by a single surgeon that utilized posterior-to-anterior screw fixation...
October 2016: Foot & Ankle International
Eric W Tan, Camilla Maccario, Paul G Talusan, Lew C Schon
BACKGROUND: A new transfibular total ankle arthroplasty (TAA) system has not been assessed for potential early complications. METHODS: We retrospectively assessed prospectively collected data on the initial cohort of patients undergoing TAA with this implant. We evaluated visual analog scale (VAS) pain and function, range of motion, and early radiographic outcomes. RESULTS: Twenty consecutive TAAs (19 patients) were treated with the implant from January 2013 through June 2014...
August 2016: Foot & Ankle International
Leonardo Osti, Angelo Del Buono, Nicola Maffulli
BACKGROUND: The aim of this study is to report the clinical and functional outcomes following arthroscopic management of anterior impingement, grade III-IV cartilage lesions, and mild to moderate osteoarthritis of the ankle in former soccer players. METHODS: The study included 15 former male professional soccer players with mild to moderate degenerative changes of the ankle who had undergone arthroscopic debridement and management of secondary injuries of the ankle...
2016: Journal of Orthopaedic Surgery and Research
Bin Song, Changchuan Li, Zhong Chen, Rui Yang, Jingyi Hou, Weiquan Tan, Weiping Li
BACKGROUND: We introduce a novel method of combining the standard anteromedial and anterolateral approaches and dual posterolateral approaches in the arthroscopic treatment of posterior and anterior ankle impingement syndrome and compare the postoperative outcomes with conventional anteromedial/anterolateral and posteromedial/posterolateral approaches. METHODS: From January 2013 to January 2015, we treated 28 patients with posterior and anterior ankle impingement syndrome by arthroscopy...
June 2016: Foot & Ankle International
T Buchhorn, M Koch, J Weber, P Ziai
Ankle impingement syndromes are one of the most frequent chronic and posttraumatic pathologies of the ankle joint. Anterior and posterior impingement result from the abutting of anatomical structures leading to pain and limitation in the range of motion of the ankle joint. Ankle impingement can be classified based on the localization or the underlying cause. Besides chronic ankle pain, further symptoms are movement and load-dependent swelling of the ankle joint and limitations in dorsiflexion and plantar flexion...
February 2016: Der Unfallchirurg
T H Lui, L K Chan
BACKGROUND: Arthroscopic management of the posterior ankle impingement with the patient in supine position has the advantage of dealing with anterior ankle pathology at the same time without the need to change position of the patient. This study aims at evaluation of the safety of portal establishment and instrumentation of this technique. METHODS: Sixteen fresh-frozen cadaver specimens were used. The relationships of the posteromedial and posterolateral portals to the adjacent tendons and nerves and the relationship of the coaxial portal tract with the posterior ankle capsule and the flexor hallucis longus tendon were studied...
June 2016: Foot
Patrick J Battaglia, Kate Craig, Norman W Kettner
OBJECTIVE: The purpose of this case report is to describe the diagnostic value of ultrasonography (US) in a patient with injury to the lateral ligaments of the ankle with concomitant ankle joint osteoarthritis and anterior impingement. CLINICAL FEATURES: A 28-year-old male had a history of an inversion injury of the left ankle. Diagnostic US of the left ankle using an 8- to 15-MHz linear array transducer demonstrated a full thickness tear of the anterior talofibular ligament, partial thickness tearing of the calcaneofibular ligament, and laxity of the ankle with varus stress testing...
December 2015: Journal of Chiropractic Medicine
Jeffrey A Russell, David W Kruse, Yiannis Koutedakis, Matthew A Wyon
Articles from the anatomy, orthopaedic, and radiology literature since 1943 were reviewed, and possible sources of anterior ankle impingement were identified therein. There are both osseous and soft tissue causes of impingement symptoms. Anterior impingement in dancers may be induced by repetitive dorsiflexion during demi-plié, where the anterior edge of the distal tibial articular surface contacts the dorsal neck of the talus. It also can be associated with the sequelae of lateral ankle sprain, including a hypertrophic tissue response, or simply by impingement of anatomically normal ligamentous structures...
September 2012: Journal of Dance Medicine & Science
Seung-Do Cha, Jae-Yong Kwak, Heui-Chul Gwak, Dong-Jun Ha, Jong-Yup Kim, Ui-Cheol Kim, Yue-Chan Jang
BACKGROUND: The purpose of this study was to report findings of exploratory arthroscopic assessment performed in conjunction with removal of internal fixation device placed in the initial surgery for rotational ankle fracture. METHODS: A total of 53 patients (33 male, 20 female) who underwent surgery for rotational ankle fracture between November 2002 and February 2008 were retrospectively reviewed. All patients gave consent to the exploratory arthroscopic surgery for the removal of internal fixation devices placed in the initial surgery...
December 2015: Clinics in Orthopedic Surgery
Roberto Buda, Matteo Baldassarri, Alessandro Parma, Marco Cavallo, Gherardo Pagliazzi, Francesco Castagnini, Sandro Giannini
BACKGROUND: Anterior soft tissue impingement of the ankle has been described based on the etiology and location, but no classification has been reported. Arthroscopic treatment is usually considered effective, even if the behavior of the different forms of impingement is not clear. The purpose of this study was to analyze the factors affecting long-term results. METHODS: Forty-two patients with a mean age of 32.6 years were arthroscopically treated between 2004 and 2008...
January 2016: Foot & Ankle International
Bernhard Devos Bevernage, Paul-André Deleu, Ivan Birch, Vincent Gombault, Pierre Maldague, Thibaut Leemrijse
BACKGROUND: Residual pain due to impingement after ankle arthroplasty can be addressed with arthroscopic debridement. Literature focusing on the effectiveness of arthroscopic debridement after total ankle arthroplasty (TAA) is scarce. The authors report a case series of 12 patients complaining of anterior or posterior impingement pain, 11 of which were in the absence of malalignment which were treated by arthroscopy. METHODS: Of the 106 TAAs performed between 2003 and 2012, a total of 12 subjects reported postoperative pain resulting from anterior or anteromedial impingement, medial and/or lateral gutter impingement, posterior impingement, and/or ankylosis...
February 2016: Foot & Ankle International
James H Lubowitz
Arthroscopic treatment of anterior ankle pain shows good results, with high patient satisfaction and low complication rates. Anterior pain with ankle hyperdorsiflexion, restriction of dorsiflexion, and swelling, particularly in a soccer player or ballet dancer, is a classic presentation. Ankle anterior impingement is common in athletes and could be under-recognized.
August 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Saurabh Odak, Raju Ahluwalia, Deepak G Shivarathre, Atif Mahmood, Nicola Blucher, Michael Hennessy, Simon Platt
BACKGROUND: Anterolateral impingement associated with intra-articular synovitis, scarring, and fibrosis is a less recognized feature in patients with chronic lateral ankle instability. The aim of our study was to ascertain the incidence of intra-articular synovitis, osteochondral lesions (OCLs), impingement lesions (both intra- and extra-articular), and other associated pathologies in patients undergoing modified Broström-Gould ankle ligament reconstruction. METHODS: We performed a retrospective review of all patients who underwent arthroscopically assisted modified Broström-Gould ankle ligament reconstruction for symptomatic recurrent ankle instability...
September 2015: Foot & Ankle International
Ji-Yong Ahn, Hong-Joon Choi, Woo-Chun Lee
BACKGROUND: Talofibular bony impingement has not previously been reported, since it is difficult to detect on plain radiograph, similar to the spur on the anterior border of the medial malleolus and anterior portion of the medial talar facet. We hypothesized that talofibular bony impingement can cause limited dorsiflexion of the ankle. The aim of this study was to evaluate talofibular bony impingement as a distinct form of impingement that limits dorsiflexion of the ankle. METHODS: This study included 20 consecutive patients (21 ankles) with talofibular impingement and 19 consecutive patients (19 ankles) with lateral ankle instability without talofibular impingement...
October 2015: Foot & Ankle International
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