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Ankle Impingement, Sports Medicine

Marcia Faustin, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Impingement is a clinical syndrome of end-range joint pain or restricted motion caused by direct abutment and/or compression of bone or soft tissues.

  • Classifications: based on types o...

DIAGNOSIS

HISTORY

  • Typically, a clinical diagnosis of exclusion

  • Prior history of single or multiple episodes of traumatic ankle injuries (typically inversion injuries)

  • Mild swelling or effusion after acti...

TREATMENT

GENERAL MEASURES

  • Rest, avoid provocative activities, ice

  • Cast immobilization (severe cases)

  • Shoe modifications, heel lifts, orthotics

  • Physical therapy with emphasis on:

    • Range of motion exercises,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Postsurgical treatment: 
  • Weight-bearing as tolerated immediately postoperative with early range of motion

  • Physical therapy focuses on increasing available joint spa...

REFERENCES

1
Lavery KP, McHale KJ, Rossy WH, et al. Ankle impingement. J Orthop Surg Res.  2016;11(1):97.
2
Niek van Dijk C. Anterior and posterior ankle impingement. Foot Ankle Clin.  2006;11(...

ADDITIONAL READING

  • John S, Mendicino R, Catanzariti A. Mastering ankle impingement syndromes. Podiatry Today.  2007;(20)8:52–60.

  • McMurray TP. Footballer’s ankle. J Bone Joint Surg Br.  1950;3...

CLINICAL PEARLS

  • Ankle impingement is classified according to type of impingement and location of impingement.

  • Largely a clinical diagnosis of exclusion

  • Typically, conservative treatment will resolve maj...

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