Anterior Ankle Impingement: Diagnosis and Treatment

作者:Talusan Paul G*; Toy Jason; Perez Joshua L; Milewski Matthew D; Reach John S Jr
来源:Journal of the American Academy of Orthopaedic Surgeons, 2014, 22(5): 333-339.
DOI:10.5435/JAAOS-22-05-333

摘要

Anterior ankle impingement is a common clinical condition characterized by chronic anterior ankle pain that is exacerbated on dorsiflexion. Additional symptoms include instability; limited ankle motion; and pain with squatting, sprinting, stair climbing, and hill climbing. Diagnosis is typically confirmed with plain radiographs. Nonsurgical management includes physical therapy, strengthening exercises, activity modification, bracing, and anti-inflammatory medication. Although arthroscopic treatment is sufficient in some patients, most require an open approach to address related pathology. We advocate aggressive range of motion as well as weight bearing postoperatively. Further study is needed to confirm current understanding of anterior ankle impingement and to better define treatment options and prevention strategies.

  • 出版日期2014-5