Posterior ankle impingement in athletes: Pathogenesis, imaging features and differential diagnoses

Hayashi, Daichi; Roemer, Frank W.; D’Hooghe, Pieter; Guermazi, Ali

doi:10.1016/j.ejrad.2015.07.017

Cited by 42 publications

(30 citation statements)

References 22 publications

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“…51 The two main proposed mechanisms of posterior impingement are: (1) an acute plantar hyperflexion injury and (2) chronic repetitive microtrauma. 54,55 The similarity between the two mechanisms revolves around the posterior soft tissues, which may become secondarily hypertrophied and compressed between the posterior talus and the calcaneus. The presence of an osseous body (os trigonum or prominent Stieda's process) can further narrow this space, which has led to its other name of "os trigonum syndrome" (Figure 12).…”

Section: Pathophysiology Of the Posterior Ankle Impingementmentioning

confidence: 99%

“…57 Further evaluation with CT can visualize osseous variants, additional osseous bodies and osteochondral abnormalities and can be performed to assist with pre-operative management. 54 Ultrasound may be used for injections of a local anaesthetic or corticosteroids, which may help in the diagnosis and palliation of posterior impingement syndrome. 58 MRI, with its superior soft-tissue contrast, plays an invaluable role in the evaluation of posterior ankle pain.…”

Section: Imaging Characteristicsmentioning

confidence: 99%

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Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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Ankle impingement syndromes encompass a broad spectrum of post-traumatic and chronic degenerative changes that present with pain on specific movements about the ankle joint. Both amateur and professional athletes are disproportionately affected by these conditions, and while conservative measures can potentially treat an impingement syndrome, definitive therapy is often alleviated surgically. Imaging (including conventional radiography, ultrasound, CT and MRI) plays an invaluable role in the diagnosis and pre-surgical work-up. An anatomically based classification system is useful in these syndromes, as the aetiology, sites of pathology and preferred treatment methods are similarly based on anatomic locations about the ankle. This review focuses on the anatomic locations, pathophysiology, imaging considerations and brief discussion of therapies for each of the major anatomic ankle impingement syndromes.

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Section: Pathophysiology Of the Posterior Ankle Impingementmentioning

confidence: 99%

Section: Imaging Characteristicsmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

View full text Add to dashboard Cite

show abstract

“…Radiography detects the presence of these anato-mical structures; MRI shows edema within the os trigonum, when present, and posterior ankle synovitis. 49,50 Sever disease, or calcaneal apophysitis, is an alteration of the physis plate of the heel, typical of growth age, and the most common cause of heel pain in athletes between 5 and 11 years of age. It is bilateral in 60% of cases.…”

Section: Ankle and Footmentioning

confidence: 99%

Lower Limbs Trauma in Pediatrics

Piccolo

Galluzzo

Trinci

et al. 2017

Semin Musculoskelet Radiol

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This article reviews acute and chronic lower extremity injuries in children, focusing mainly on those traumas typical of the pediatric population. The child is not just a small version of an adult, so physicians need a very detailed knowledge of the anatomy and physiologic changes occurring during growth to understand and evaluate the mechanism of trauma, and choose the most adequate management. In adolescents the most common lesion encountered affects the physes, which are still open. They predispose to injury as the weakest point in the kinetic chain, so those mechanisms responsible for ligamentous traumas in adults can cause physeal injuries in a skeletally immature patient. In association with them, apophyseal lesions are also very common, leading to avulsion injuries at the site of tendon origin or insertion, also called locus minoris resistentiae. Understanding these types of injuries is essential, specifically for the radiologist, because a missed diagnosis can lead to later complications such as growth arrest and osteoarthritis.

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“…In 2015, Hayashi et al 60 provided a radiographic overview on posterior ankle impingement, including the differentials that should be taken into account.…”

Section: Introductionmentioning

confidence: 99%

Posterior ankle arthroscopy: current state of the art

Dijk

Vuurberg

Batista³

et al. 2017

Journal of ISAKOS

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The most common hindfoot pathologies seen in clinical practice and sports medicine are posterior ankle impingement and osteoarthrosis (OA). Both these—and other pathologies such as insertional tendinitis and Haglund’s disease—may cause significant disability, in both everyday life and during sporting activities. Post-traumatic OA alone causes a healthcare burden of over 3 billion US dollars per year. An adequate approach of these pathologies is required to minimise this healthcare burden and additionally to maintain patients’ economic productiveness. The aim of this article is to outline the most important evidence-based indications concerning posterior ankle arthroscopy focusing on diagnostics, surgical techniques, complications, geographical differences and future developments in the field of hindfoot arthroscopy. Initially, the treatment of hindfoot pathology is conservative. If adequate conservative treatment does not result in a good response, surgery may be indicated. Over the last three decades, arthroscopy of the ankle joint has become a standardised and important procedure, with numerous indications for both anterior and posterior pathology. Since 2000, a two-portal hindfoot arthroscopic approach has been described and used globally in clinical practice. Some of the indications that may be addressed using this approach are the treatment of posteriorly located osteochondral defects, posterior ankle impingement, pathology of the deep portion of the deltoid ligament, Cedell fracture, tarsal tunnel release, loose bodies and tibiotalar or subtalar arthrodesis. Tendon pathology can also be treated using posterior portals; however, this is beyond the scope of this review.

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Posterior ankle impingement in athletes: Pathogenesis, imaging features and differential diagnoses

Cited by 42 publications

References 22 publications

Ankle impingement syndromes: an imaging review

Ankle impingement syndromes: an imaging review

Lower Limbs Trauma in Pediatrics

Posterior ankle arthroscopy: current state of the art

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