Synovial impingement in the ankle

Molloy, S.; Solan, Matthew; Bendall, S. P.

doi:10.1302/0301-620x.85b3.12873

Cited by 77 publications

(31 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Four out of twenty-three (17%) children showed restricted range of movement. Nine (39%) children had deep ankle pain, six (26%) had signs of anterolateral impingement described by Molloy et al, 8 while none showed clinical features of posterior impingement. Tenderness over the syndesmoses could be elicited in 8 (35%) cases.…”

Section: Resultsmentioning

confidence: 77%

Ankle arthroscopy in children

Vasukutty

Akrawi

Theruvil

et al. 2011

annals

View full text Add to dashboard Cite

INTRODUCTION Arthroscopy of the ankle has gained acceptance as a procedure for diagnosing and treating chronic and post-traumatic ankle problems. The senior author's perception is that magnetic resonance imaging (MRI) under-diagnoses anterior soft tissue impingement lesions in children. The purpose of this study was retrospectively to analyse the outcome of ankle arthroscopy in the paediatric age group. PATIENTS AND METHODS Between March 2005 and September 2007, 23 children underwent ankle arthroscopy for post-traumatic pathology. The indications for arthroscopy were failure of non-operative treatment for at least 12 weeks or a grade 3 or 4 osteochondral defect (OCD) on imaging. RESULTS At arthroscopy, OCDs were visualised in 12 cases and impingement lesions were seen in 17 ankles. MRI was performed in 8 of these 12 cases and only 1 suggested the possibility of an impingement lesion. Of the 17 cases of impingement seen on arthroscopy, 12 reported mechanical symptoms preoperatively and 4 were unstable on examination under anaesthetic. Eighteen of the twenty-three patients had complete relief of symptoms at 3 months. Eighteen children who were evaluated at one-year follow up had a mean American Orthopaedic Foot and Ankle Society score of 87. 5 (range: 49-100). CONCLUSIONS Ankle arthroscopy has a successful outcome in paediatric patients and the results are comparable with those reported in adult series. MRI was found to be insensitive for the diagnosis of soft tissue impingement of the ankle.

show abstract

Section: Resultsmentioning

confidence: 77%

Ankle arthroscopy in children

Vasukutty

Akrawi

Theruvil

et al. 2011

annals

View full text Add to dashboard Cite

show abstract

“…The bony impingement is commonly found over the anteromedial aspect while the symptoms of soft tissue impingement are on the anterolateral aspect of the ankle. Also, the dorsiflexion impingement sign is commonly positive [28]. Moreover, functional or structural ankle instability that may be a cause of impingement syndrome must be considered [29].…”

Section: Clinical Evaluationmentioning

confidence: 99%

Update on anterior ankle impingement

Vaseenon

Amendola

2012

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Anterior ankle impingement results from an impingement of the ankle joint by a soft tissue or osteophyte formation at the anterior aspect of the distal tibia and talar neck. It often occurs secondary to direct trauma (impaction force) or repetitive ankle dorsiflexion (repetitive impaction and traction force). Chronic ankle pain, swelling, and limitation of ankle dorsiflexion are common complaints. Imaging is valuable for diagnosis of the bony impingement but not for the soft tissue impingement, which is based on clinical findings. MR imaging and MR arthrography are helpful in doubtful diagnoses and the identification of associated injuries. Recommended methods for initial management include rest, physical therapy, and shoe modification. If nonoperative treatment fails, arthroscopic bony or soft tissue debridement both offer significant symptomatic relief with long-term positive outcomes in cases that have no significant arthritic change, associated ligament laxity, and chondral lesion.

show abstract

“…Special tests performed included the external rotation test ( = 0.75), 4 the squeeze test ( = 0.50), 4 the anterior drawer test, 70 and the impingement sign. 51 A common problem with previous studies examining the diagnostic properties of the clinical examination is that most investigators did not report the reliability of measures used in their studies. 15,49 Of the 85 patients that were enrolled in the study, 23 underwent a second examination by a therapist who was blind to the findings of the first clinician.…”

Section: Therapistsmentioning

confidence: 99%