Skip to main content

Anterior and Posterior Ankle Impingement

  • Chapter
  • First Online:
Foot and Ankle Sports Orthopaedics

Abstract

Anterior and posterior ankle impingement may become debilitating and needs specific attention when dealing with painful syndromes around the ankle. There are multiple causes and conditions that may provoke either an anterior or posterior ankle impingement.

A proper knowledge of the underlying problems and physical examination will lead to the right diagnosis. The correct diagnosis helps to formulate an individual treatment plan that ensures good-to-excellent outcome while attempting to bring patients back to sports.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Baetzner W. Sportschäden am Bewegungsapparat. Wien: Urban & Schwarzenberg; 1927.

    Google Scholar 

  2. Maffulli N, et al. Sport injuries: a review of outcomes. Br Med Bull. 2011;97:47–80.

    Article  PubMed  Google Scholar 

  3. Biedert R. Anterior ankle pain in sports medicine: aetiology and indications for arthroscopy. Arch Orthop Trauma Surg. 1991;110(6):293–7.

    Article  CAS  PubMed  Google Scholar 

  4. O’Donoghue D. Impingement exostoses of the talus and tibia. J Bone Joint Surg Am. 1957;39:835–52.

    Article  PubMed  Google Scholar 

  5. Tol JL, van Dijk CN. Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int. 2004;25(6):382–6.

    Article  PubMed  Google Scholar 

  6. Williams J, Bandt K. Exercise increases osteophyte formation and diminishes fibrillation following chemically induced articular cartilage injury. J Anat. 1984;139(4):599–611.

    PubMed  PubMed Central  Google Scholar 

  7. Ferkel RD, et al. Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med. 1991;19(5):440–6.

    Article  CAS  PubMed  Google Scholar 

  8. Russo A, et al. Ankle impingement: a review of multimodality imaging approach. Musculoskelet Surg. 2013;97 Suppl 2:S161–8.

    Article  PubMed  Google Scholar 

  9. Kleiger B. Anterior tibiotalar impingement syndromes in dancers. Foot Ankle. 1982;3(2):69–73.

    Article  CAS  PubMed  Google Scholar 

  10. Kleiger B. Injuries of the talus and its joints. Clin Orthop Relat Res. 1976;121:243–62.

    Google Scholar 

  11. Niek van Dijk C. Anterior and posterior ankle impingement. Foot Ankle Clin. 2006;11(3):663–83.

    Article  CAS  PubMed  Google Scholar 

  12. Robinson P. Impingement syndromes of the ankle. Eur Radiol. 2007;17(12):3056–65.

    Article  PubMed  Google Scholar 

  13. Watson AD. Ankle instability and impingement. Foot Ankle Clin. 2007;12(1):177–95.

    Article  PubMed  Google Scholar 

  14. 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.

    CAS  PubMed  Google Scholar 

  15. van Dijk CN, et al. Oblique radiograph for the detection of bone spurs in anterior ankle impingement. Skeletal Radiol. 2002;31(4):214–21.

    Article  PubMed  Google Scholar 

  16. Vertullo C. Unresolved lateral ankle pain. It’s not always ‘just a sprain’. Aust Fam Physician. 2002;31(3):247–53.

    PubMed  Google Scholar 

  17. Berberian WS, et al. Morphology of tibiotalar osteophytes in anterior ankle impingement. Foot Ankle Int. 2001;22(4):313–7.

    Article  CAS  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. 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.

    Article  PubMed  Google Scholar 

  20. Kirby AB, et al. Magnetic resonance imaging findings of chronic lateral ankle instability. Curr Probl Diagn Radiol. 2005;34(5): 196–203.

    Article  PubMed  Google Scholar 

  21. Larciprete M, et al. [Ankle impingement syndrome]. Radiol Med (Torino). 2000;99(6):415–9.

    CAS  Google Scholar 

  22. Masciocchi C, Catalucci A, Barile A. Ankle impingement syndromes. Eur J Radiol. 1998;27 Suppl 1:S70–3.

    Article  PubMed  Google Scholar 

  23. Masciocchi C, Maffey MV, Mastri F. Overload syndromes of the peritalar region. Eur J Radiol. 1997;26(1):46–53.

    Article  CAS  PubMed  Google Scholar 

  24. Robinson P, et al. Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess. AJR Am J Roentgenol. 2002;178(3):601–4.

    Article  CAS  PubMed  Google Scholar 

  25. Robinson P, et al. Anterolateral ankle impingement: MR arthrographic assessment of the anterolateral recess. Radiology. 2001;221(1):186–90.

    Article  CAS  PubMed  Google Scholar 

  26. Schweitzer ME. Magnetic resonance imaging of the foot and ankle. Magn Reson Q. 1993;9(4):214–34.

    CAS  PubMed  Google Scholar 

  27. Brown TD, Micheli LJ. Foot and ankle injuries in dance. Am J Orthop. 2004;33(6):303–9.

    PubMed  Google Scholar 

  28. 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.

    Article  CAS  PubMed  Google Scholar 

  29. Sohl P, Bowling A. Injuries to dancers. Prevalence, treatment and prevention. Sports Med. 1990;9(5):317–22.

    Article  CAS  PubMed  Google Scholar 

  30. Abramowitz Y, et al. Outcome of resection of a symptomatic os trigonum. J Bone Joint Surg Am. 2003;85-A(6):1051–7.

    Article  PubMed  Google Scholar 

  31. Berkowitz MJ, Kim DH. Process and tubercle fractures of the hindfoot. J Am Acad Orthop Surg. 2005;13(8):492–502.

    Article  PubMed  Google Scholar 

  32. Billi A, et al. Joint impingement syndrome: clinical features. Eur J Radiol. 1998;27 Suppl 1:S39–41.

    Article  PubMed  Google Scholar 

  33. Henderson I, La Valette D. Ankle impingement: combined anterior and posterior impingement syndrome of the ankle. Foot Ankle Int. 2004;25(9):632–8.

    Article  PubMed  Google Scholar 

  34. Nasser S, Manoli 2nd A. Fracture of the entire posterior process of the talus: a case report. Foot Ankle. 1990;10(4):235–8.

    Article  CAS  PubMed  Google Scholar 

  35. Yilmaz C, Eskandari MM. Arthroscopic excision of the talar Stieda’s process. Arthroscopy. 2006;22(2):225 e1–3.

    Article  Google Scholar 

  36. Smyth NA, et al. Posterior hindfoot arthroscopy: a review. Am J Sports Med. 2014;42(1):225–34.

    Article  PubMed  Google Scholar 

  37. Zwiers R, et al. Surgical treatment for posterior ankle impingement. Arthroscopy. 2013;29(7):1263–70.

    Article  PubMed  Google Scholar 

  38. de Leeuw PA, van Sterkenburg MN, van Dijk CN. Arthroscopy and endoscopy of the ankle and hindfoot. Sports Med Arthrosc. 2009;17(3):175–84.

    Article  PubMed  Google Scholar 

  39. Scholten PE, Sierevelt IN, van Dijk CN. Hindfoot endoscopy for posterior ankle impingement. J Bone Joint Surg Am. 2008;90(12):2665–72.

    Article  CAS  PubMed  Google Scholar 

  40. Stoller SM, Hekmat F, Kleiger B. A comparative study of the frequency of anterior impingement exostoses of the ankle in dancers and nondancers. Foot Ankle. 1984;4(4):201–3.

    Article  CAS  PubMed  Google Scholar 

  41. Subotnick SI. Anterior impingement exostosis of the ankle: a hazard to the athlete. J Am Podiatry Assoc. 1976;66(12):958–63.

    Article  CAS  PubMed  Google Scholar 

  42. Rodriguez-Merchan EC. Chronic ankle instability: diagnosis and treatment. Arch Orthop Trauma Surg. 2012;132(2):211–9.

    Article  PubMed  Google Scholar 

  43. Mc Murray T. Footballer’s ankle. J Bone Joint Surg Am. 1950;32:68–9.

    Google Scholar 

  44. van Dijk CN, de Leeuw PA, Scholten PE. Hindfoot endoscopy for posterior ankle impingement. J Bone Joint Surg Am. 2009;91 Suppl 2:287–98.

    Article  PubMed  Google Scholar 

  45. Coull R, et al. Open treatment of anterior impingement of the ankle. J Bone Joint Surg Br. 2003;85(4):550–3.

    Article  CAS  PubMed  Google Scholar 

  46. Reynaert P, Gelen G, Geens G. Arthroscopic treatment of anterior impingement of the ankle. Acta Orthop Belg. 1994;60(4):384–8.

    CAS  PubMed  Google Scholar 

  47. DeBerardino TM, Arciero RA, Taylor DC. Arthroscopic treatment of soft-tissue impingement of the ankle in athletes. Arthroscopy. 1997;13(4):492–8.

    Article  CAS  PubMed  Google Scholar 

  48. 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.

    Article  PubMed  Google Scholar 

  49. 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.

    Article  CAS  PubMed  Google Scholar 

  50. Philbin TM, Lee TH, Berlet GC. Arthroscopy for athletic foot and ankle injuries. Clin Sports Med. 2004;23(1):35–53, vi.

    Article  PubMed  Google Scholar 

  51. 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.

    Article  PubMed  Google Scholar 

  52. Nihal A, Rose DJ, Trepman E. Arthroscopic treatment of anterior ankle impingement syndrome in dancers. Foot Ankle Int. 2005;26(11):908–12.

    PubMed  Google Scholar 

  53. 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.

    Article  PubMed  Google Scholar 

  54. Scranton Jr PE, McDermott JE. Anterior tibiotalar spurs: a comparison of open versus arthroscopic debridement. Foot Ankle. 1992;13(3):125–9.

    Article  PubMed  Google Scholar 

  55. Tol JL, Verheyen CC, van Dijk CN. Arthroscopic treatment of anterior impingement in the ankle. J Bone Joint Surg Br. 2001;83:9–13.

    Article  CAS  PubMed  Google Scholar 

  56. Walsh SJ, et al. Arthroscopic treatment of anterior ankle impingement: a prospective study of 46 patients with 5-year follow-up. Am J Sports Med. 2014;42(11):2722–6.

    Article  PubMed  Google Scholar 

  57. Galla M, Lobenhoffer P. Technique and results of arthroscopic treatment of posterior ankle impingement. Foot Ankle Surg. 2011;17(2):79–84.

    Article  PubMed  Google Scholar 

  58. Beimers L, Frey C, van Dijk CN. Arthroscopy of the posterior subtalar joint. Foot Ankle Clin. 2006;11(2):369–90, vii.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Norman Espinosa MD , Ana Fajardo-Ruiz or Anita Hasler MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Espinosa, N., Fajardo-Ruiz, A., Hasler, A. (2016). Anterior and Posterior Ankle Impingement. In: Valderrabano, V., Easley, M. (eds) Foot and Ankle Sports Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-15735-1_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15735-1_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15734-4

  • Online ISBN: 978-3-319-15735-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics