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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2016

Open Access 01-12-2016 | Review

Ankle impingement

Authors: Kyle P. Lavery, Kevin J. McHale, William H. Rossy, George Theodore

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2016

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Abstract

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.
Literature
1.
Sanders TG, Rathur SK. Impingement syndromes of the ankle. Magn Reson Imaging Clin N Am. 2008;16(1):29–38, v.PubMedCrossRef
2.
3.
O’Donoghue DH. Impingement exostoses of the talus and tibia. J Bone Joint Surg Am. 1957;39-A(4):835–52. discussion, 852; passim.PubMed
4.
5.
6.
Ahn JY, Choi HJ, Lee WC. Talofibular bony impingement in the ankle. Foot Ankle Int. 2015;36(10):1150–5.PubMedCrossRef
7.
Tol JL, van Dijk CN. Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int. 2004;25(6):382–6.PubMed
8.
Hayeri MR, Trudell DJ, Resnick D. Anterior ankle impingement and talar bony outgrowths: osteophyte or enthesophyte? Paleopathologic and cadaveric study with imaging correlation. AJR Am J Roentgenol. 2009;193(4):W334–8.PubMedCrossRef
9.
Berberian WS, et al. Morphology of tibiotalar osteophytes in anterior ankle impingement. Foot Ankle Int. 2001;22(4):313–7.PubMed
10.
11.
Raikin SM, Cooke PH. Divot sign: a new observation in anterior impingement of the ankle. Foot Ankle Int. 1999;20(8):532–3.PubMedCrossRef
12.
Moon JS, et al. Cartilage lesions in anterior bony impingement of the ankle. Arthroscopy. 2010;26(7):984–9.PubMedCrossRef
13.
Valkering KP, et al. “Web impingement” of the ankle: a case report. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1289–92.PubMedCrossRef
14.
Bassett 3rd FH, et al. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am. 1990;72(1):55–9.PubMed
15.
Akseki D, et al. The distal fascicle of the anterior inferior tibio-fibular ligament as a cause of anterolateral ankle impingement: results of arthroscopic resection. Acta Orthop Scand. 1999;70(5):478–82.PubMedCrossRef
16.
Rosenbaum AJ, et al. Ankle impingement caused by an intra-articular plica: a report of 2 cases. Foot Ankle Spec. 2016;9(1):79–82.PubMedCrossRef
17.
Tol JL, et al. The relationship of the kicking action in soccer and anterior ankle impingement syndrome. A biomechanical analysis. Am J Sports Med. 2002;30(1):45–50.PubMed
18.
Massada JL. Ankle overuse injuries in soccer players. Morphological adaptation of the talus in the anterior impingement. J Sports Med Phys Fitness. 1991;31(3):447–51.PubMed
19.
Cannon LB, Hackney RG. Anterior tibiotalar impingement associated with chronic ankle instability. J Foot Ankle Surg. 2000;39(6):383–6.PubMedCrossRef
20.
Lee J, Hamilton G, Ford L. Associated intra-articular ankle pathologies in patients with chronic lateral ankle instability: arthroscopic findings at the time of lateral ankle reconstruction. Foot Ankle Spec. 2011;4(5):284–9.PubMedCrossRef
21.
Hua Y, et al. Combination of modified Brostrom procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy. 2010;26(4):524–8.PubMedCrossRef
22.
Odak S, et al. Arthroscopic evaluation of impingement and osteochondral lesions in chronic lateral ankle instability. Foot Ankle Int. 2015;36(9):1045–9.PubMedCrossRef
23.
Scranton Jr PE, McDermott JE, Rogers JV. The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int. 2000;21(8):657–64.PubMed
24.
Mouhsine E, et al. Post-traumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement. Knee Surg Sports Traumatol Arthrosc. 2004;12(3):250–3.PubMedCrossRef
25.
Lui TH. Posterior ankle impingement syndrome caused by malunion of joint depressed type calcaneal fracture. Knee Surg Sports Traumatol Arthrosc. 2008;16(7):687–9.PubMedCrossRef
26.
Cortes ZE, Harris AM, Baumhauer JF. Posterior ankle pain diagnosed by positional MRI of the ankle: a unique case of posterior ankle impingement and osteonecrosis of the talus. Foot Ankle Int. 2006;27(4):293–5.PubMed
27.
Koulouris G, et al. Posterior tibiotalar ligament injury resulting in posteromedial impingement. Foot Ankle Int. 2003;24(8):575–83.PubMed
28.
Paterson RS, Brown JN. The posteromedial impingement lesion of the ankle. A series of six cases. Am J Sports Med. 2001;29(5):550–7.PubMed
29.
Peace KA, et al. MRI features of posterior ankle impingement syndrome in ballet dancers: a review of 25 cases. Clin Radiol. 2004;59(11):1025–33.PubMedCrossRef
30.
Fiorella D, Helms CA, Nunley 2nd JA. The MR imaging features of the posterior intermalleolar ligament in patients with posterior impingement syndrome of the ankle. Skelet Radiol. 1999;28(10):573–6.CrossRef
31.
Lohrer H, Arentz S. Posterior approach for arthroscopic treatment of posterolateral impingement syndrome of the ankle in a top-level field hockey player. Arthroscopy. 2004;20(4):e15–21.PubMedCrossRef
32.
Rosenberg ZS, et al. Posterior intermalleolar ligament of the ankle: normal anatomy and MR imaging features. AJR Am J Roentgenol. 1995;165(2):387–90.PubMedCrossRef
33.
Best A, et al. Posterior impingement of the ankle caused by anomalous muscles. A report of four cases. J Bone Joint Surg Am. 2005;87(9):2075–9.PubMedCrossRef
34.
Seipel R, et al. The peroneocalcaneus internus muscle: an unusual cause of posterior ankle impingement. Foot Ankle Int. 2005;26(10):890–3.PubMed
35.
36.
Hamilton WG, Geppert MJ, Thompson FM. Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment. J Bone Joint Surg Am. 1996;78(10):1491–500.PubMed
37.
Russell JA, et al. Pathoanatomy of posterior ankle impingement in ballet dancers. Clin Anat. 2010;23(6):613–21.PubMedCrossRef
38.
Russell JA, et al. Pathoanatomy of anterior ankle impingement in dancers. J Dance Med Sci. 2012;16(3):101–8.PubMed
39.
Ribbans WJ, et al. The management of posterior ankle impingement syndrome in sport: a review. Foot Ankle Surg. 2015;21(1):1–10.PubMedCrossRef
40.
Mansingh A. Posterior ankle impingement in fast bowlers in cricket. West Indian Med J. 2011;60(1):77–81.PubMed
41.
van Dijk CN, et al. Oblique radiograph for the detection of bone spurs in anterior ankle impingement. Skelet Radiol. 2002;31(4):214–21.CrossRef
42.
Tol JL, et al. The anterior ankle impingement syndrome: diagnostic value of oblique radiographs. Foot Ankle Int. 2004;25(2):63–8.PubMed
43.
Wiegerinck JI, et al. The posterior impingement view: an alternative conventional projection to detect bony posterior ankle impingement. Arthroscopy. 2014;30(10):1311–6.PubMedCrossRef
44.
Bureau NJ, et al. Posterior ankle impingement syndrome: MR imaging findings in seven patients. Radiology. 2000;215(2):497–503.PubMedCrossRef
45.
Huh YM, et al. Synovitis and soft tissue impingement of the ankle: assessment with enhanced three-dimensional FSPGR MR imaging. J Magn Reson Imaging. 2004;19(1):108–16.PubMedCrossRef
46.
Duncan D, et al. The usefulness of magnetic resonance imaging in the diagnosis of anterolateral impingement of the ankle. J Foot Ankle Surg. 2006;45(5):304–7.PubMedCrossRef
47.
Farooki S, Yao L, Seeger LL. Anterolateral impingement of the ankle: effectiveness of MR imaging. Radiology. 1998;207(2):357–60.PubMedCrossRef
48.
Schaffler GJ, et al. Impingement syndrome of the ankle following supination external rotation trauma: MR imaging findings with arthroscopic correlation. Eur Radiol. 2003;13(6):1357–62.PubMed
49.
Lee JW, et al. Soft tissue impingement syndrome of the ankle: diagnostic efficacy of MRI and clinical results after arthroscopic treatment. Foot Ankle Int. 2004;25(12):896–902.PubMed
50.
Ferkel RD, et al. MRI evaluation of anterolateral soft tissue impingement of the ankle. Foot Ankle Int. 2010;31(8):655–61.PubMedCrossRef
51.
Takao M, et al. Arthroscopic treatment for anterior impingement exostosis of the ankle: application of three-dimensional computed tomography. Foot Ankle Int. 2004;25(2):59–62.PubMed
52.
McCarthy CL, Wilson DJ, Coltman TP. Anterolateral ankle impingement: findings and diagnostic accuracy with ultrasound imaging. Skelet Radiol. 2008;37(3):209–16.CrossRef
53.
54.
Jose J, et al. Sonographically guided therapeutic injections in the meniscoid lesion in patients with anteromedial ankle impingement syndrome. Foot Ankle Spec. 2014;7(5):409–13.PubMedCrossRef
55.
Robinson P, Bollen SR. Posterior ankle impingement in professional soccer players: effectiveness of sonographically guided therapy. AJR Am J Roentgenol. 2006;187(1):W53–8.PubMedCrossRef
56.
Bauer T, Breda R, Hardy P. Anterior ankle bony impingement with joint motion loss: the arthroscopic resection option. Orthop Traumatol Surg Res. 2010;96(4):462–8.PubMedCrossRef
57.
Ferkel RD, et al. Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med. 1991;19(5):440–6.PubMedCrossRef
58.
Baums MH, et al. Clinical outcome of the arthroscopic management of sports-related “anterior ankle pain”: a prospective study. Knee Surg Sports Traumatol Arthrosc. 2006;14(5):482–6.PubMedCrossRef
59.
Meislin RJ, et al. Arthroscopic treatment of synovial impingement of the ankle. Am J Sports Med. 1993;21(2):186–9.PubMedCrossRef
60.
Ogilvie-Harris DJ, Mahomed N, Demaziere A. Anterior impingement of the ankle treated by arthroscopic removal of bony spurs. J Bone Joint Surg (Br). 1993;75(3):437–40.
61.
Liu SH, et al. Arthroscopic treatment of anterolateral ankle impingement. Arthroscopy. 1994;10(2):215–8.PubMedCrossRef
62.
Reynaert P, Gelen G, Geens G. Arthroscopic treatment of anterior impingement of the ankle. Acta Orthop Belg. 1994;60(4):384–8.PubMed
63.
Branca A, et al. Arthroscopic treatment of anterior ankle impingement. Foot Ankle Int. 1997;18(7):418–23.PubMedCrossRef
64.
DeBerardino TM, Arciero RA, Taylor DC. Arthroscopic treatment of soft-tissue impingement of the ankle in athletes. Arthroscopy. 1997;13(4):492–8.PubMedCrossRef
65.
van Dijk CN, Tol JL, Verheyen CC. A prospective study of prognostic factors concerning the outcome of arthroscopic surgery for anterior ankle impingement. Am J Sports Med. 1997;25(6):737–45.PubMedCrossRef
66.
Kim SH, Ha KI. Arthroscopic treatment for impingement of the anterolateral soft tissues of the ankle. J Bone Joint Surg (Br). 2000;82(7):1019–21.CrossRef
67.
Tol JL, Verheyen CP, van Dijk CN. Arthroscopic treatment of anterior impingement in the ankle. J Bone Joint Surg (Br). 2001;83(1):9–13.CrossRef
68.
Rasmussen S, Hjorth Jensen C. Arthroscopic treatment of impingement of the ankle reduces pain and enhances function. Scand J Med Sci Sports. 2002;12(2):69–72.PubMedCrossRef
69.
Nihal A, Rose DJ, Trepman E. Arthroscopic treatment of anterior ankle impingement syndrome in dancers. Foot Ankle Int. 2005;26(11):908–12.PubMed
70.
Urguden M, et al. Arthroscopic treatment of anterolateral soft tissue impingement of the ankle: evaluation of factors affecting outcome. Arthroscopy. 2005;21(3):317–22.PubMedCrossRef
71.
Moustafa El-Sayed AM. Arthroscopic treatment of anterolateral impingement of the ankle. J Foot Ankle Surg. 2010;49(3):219–23.PubMedCrossRef
72.
Murawski CD, Kennedy JG. Anteromedial impingement in the ankle joint: outcomes following arthroscopy. Am J Sports Med. 2010;38(10):2017–24.PubMedCrossRef
73.
Arnold H. Posttraumatic impingement syndrome of the ankle—indication and results of arthroscopic therapy. Foot Ankle Surg. 2011;17(2):85–8.PubMedCrossRef
74.
Brennan SA, et al. Arthroscopic debridement for soft tissue ankle impingement. Ir J Med Sci. 2012;181(2):253–6.PubMedCrossRef
75.
Zwiers R, et al. Arthroscopic treatment for anterior ankle impingement: a systematic review of the current literature. Arthroscopy. 2015;31(8):1585–96.PubMedCrossRef
76.
Buda R, et al. Arthroscopic treatment and prognostic classification of anterior soft tissue impingement of the ankle. Foot Ankle Int. 2016;37(1):33–9.PubMedCrossRef
77.
Gulish HA, Sullivan RJ, Aronow M. Arthroscopic treatment of soft-tissue impingement lesions of the ankle in adolescents. Foot Ankle Int. 2005;26(3):204–7.PubMed
78.
Mardani-Kivi M, et al. Arthroscopic treatment of patients with anterolateral impingement of the ankle with and without chondral lesions. J Foot Ankle Surg. 2013;52(2):188–91.PubMedCrossRef
79.
Parma A, et al. Arthroscopic treatment of ankle anterior bony impingement: the long-term clinical outcome. Foot Ankle Int. 2014;35(2):148–55.PubMedCrossRef
80.
Rouvillain JL, et al. Distraction-free ankle arthroscopy for anterolateral impingement. Eur J Orthop Surg Traumatol. 2014;24(6):1019–23.PubMedCrossRef
81.
Hawkins RB. Arthroscopic treatment of sports-related anterior osteophytes in the ankle. Foot Ankle. 1988;9(2):87–90.PubMedCrossRef
82.
Simonson DC, Roukis TS. Safety of ankle arthroscopy for the treatment of anterolateral soft-tissue impingement. Arthroscopy. 2014;30(2):256–9.PubMedCrossRef
83.
van Dijk CN, de Leeuw PA, Scholten PE. Hindfoot endoscopy for posterior ankle impingement. Surgical technique. J Bone Joint Surg Am. 2009;91 Suppl 2:287–98.PubMed
84.
van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy. 2000;16(8):871–6.PubMedCrossRef
85.
Tey M, et al. Benefits of arthroscopic tuberculoplasty in posterior ankle impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2007;15(10):1235–9.PubMedCrossRef
86.
Scholten PE, Sierevelt IN, van Dijk CN. Hindfoot endoscopy for posterior ankle impingement. J Bone Joint Surg Am. 2008;90(12):2665–72.PubMedCrossRef
87.
Willits K, et al. Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy. 2008;24(2):196–202.PubMedCrossRef
88.
Calder JD, Sexton SA, Pearce CJ. Return to training and playing after posterior ankle arthroscopy for posterior impingement in elite professional soccer. Am J Sports Med. 2010;38(1):120–4.PubMedCrossRef
89.
Noguchi H, et al. Arthroscopic excision of posterior ankle bony impingement for early return to the field: short-term results. Foot Ankle Int. 2010;31(5):398–403.PubMedCrossRef
90.
Sundararajan PP. Combined arthroscopic and fluoroscopic guidance in the atraumatic treatment of posterior ankle impingement syndrome. J Foot Ankle Surg. 2012;51(5):687–9.PubMedCrossRef
91.
Smyth NA, et al. Hindfoot arthroscopic surgery for posterior ankle impingement: a systematic surgical approach and case series. Am J Sports Med. 2013;41(8):1869–76.PubMedCrossRef
92.
Vila J, et al. Hindfoot endoscopy for the treatment of posterior ankle impingement syndrome: a safe and reproducible technique. Foot Ankle Surg. 2014;20(3):174–9.PubMedCrossRef
93.
94.
Miyamoto W, Takao M, Matsushita T. Hindfoot endoscopy for posterior ankle impingement syndrome and flexor hallucis longus tendon disorders. Foot Ankle Clin. 2015;20(1):139–47.PubMedCrossRef
95.
Carreira DS, et al. Outcome of arthroscopic treatment of posterior impingement of the ankle. Foot Ankle Int. 2016;37(4):394–400.PubMedCrossRef
96.
Dinato MC, et al. Endoscopic treatment of the posterior ankle impingement syndrome on amateur and professional athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1396–401.PubMedCrossRef
97.
Galla M, Lobenhoffer P. Technique and results of arthroscopic treatment of posterior ankle impingement. Foot Ankle Surg. 2011;17(2):79–84.PubMedCrossRef
98.
Zwiers R, et al. Surgical treatment for posterior ankle impingement. Arthroscopy. 2013;29(7):1263–70.PubMedCrossRef
Metadata
Title
Ankle impingement
Authors
Kyle P. Lavery
Kevin J. McHale
William H. Rossy
George Theodore
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2016
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-016-0430-x

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