manuelletherapie 2010; 14(3): 91-97
DOI: 10.1055/s-0029-1245508

© Georg Thieme Verlag KG Stuttgart · New York

Impingement-Syndrom des oberen Sprunggelenks

Impingement Syndrome of the Upper Ankle JointJ. Schomacher1
Further Information

Publication History

Manuskript eingetroffen: 20.10.2009

Manuskript akzeptiert: 29.12.2009

Publication Date:
29 July 2010 (online)


Sprunggelenkschmerzen können unter anderem mechanisch durch ein Einklemmen zwischen Tibia und Talus verursacht werden. Die vorliegende Arbeit erläutert dieses Impingement-Syndrom und stellt dessen Diagnose und chirurgische Therapie dar. Außerdem wird eine in der Literatur bislang fehlende passende Physiotherapie vorgeschlagen.


Among others ankle pain can mechanically be caused by an impingement between tibia and talus. This article explains this impingement syndrome and portrays its diagnosis and surgical management. In addition, an in literature to date missing suitable physiotherapy is suggested.


  • 1 Baer T E, Stolley M P, Thedens D et al. Development of an ankle distraction device compatible with MRI and radiography.  Foot & Ankle International. 2006;  27 472-474
  • 2 Bowers A L, Castro M D. The mechanics behind the image: foot and ankle pathology associated with gastrocnemius contracture.  Seminars in Musculoskeletal Radiology. 2007;  11 83-90
  • 3 Cerezal L, Abascal F, Canga A et al. MR Imaging of ankle impingement syndromes.  American Journal of Roentgenology. 2003;  181 551-559
  • 4 Cerezal L, Abascal F, Caría-Valtuille R et al. Ankle MR Arthrography: How, Why, When.  Radiologic Clinics of North America. 2005;  43 693-707
  • 5 Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan’s mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains.  Manual Therapy. 2004;  9 77-82
  • 6 Dowdy P A, Watson B V, Amendola A et al. Noninvasive ankle distraction: relationship between force, magnitude of distraction, and nerve conduction abnormalities.  Arthroscopy: The Journal of Arthroscopic and Related Surgery. 1996;  12 64-49
  • 7 Duncan D, Mologne T, Hildebrand H et al. The usefulness of magnetic resonance imaging in the diagnosis of anterolateral impingement of the ankle.  The Journal of Foot & Ankle Surgery. 2006;  45 304-307
  • 8 Farooki S, Yao L, Seeger L L. Anterolateral impingement of the ankle: effectiveness of MR imaging.  Radiology. 1998;  207 357-360
  • 9 Haller J, Bernt R, Seeger T et al. MR-imaging of anterior tibiotalar impingement syndrome: agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography.  European Journal of Radiology. 2006;  58 450-460
  • 10 Hauger O, Moinard M, Lasalarie J C et al. Anterolateral compartment of the ankle in the lateral impingement syndrome: appearance on CT arthrography.  American Journal of Roentgenology. 1999;  173 685-690
  • 11 Hopper M, Robinson P. Ankle impingement syndromes.  Radiologic Clinics of North America. 2008;  46 957-971
  • 12 Kaltenborn F M. Manuelle Therapie nach Kaltenborn. Untersuchung und Behandlung. Teil I: Extremitäten. 12. Aufl. Oslo: Norli; 2005
  • 13 Keller K, Nasrilari M, Filler T et al. The anterior tibio-talar ligament: one reason for anterior ankle ligament.  Knee Surgery, Sports Traumatology, Arthroscopy. 2009;  DOI: 10.1007 /s00167-009-0896-8
  • 14 Lee J C, Calder J DF, Healy J C. Posterior impingement syndromes of the ankle.  Seminars in Musculoskeletal Radiology. 2008;  12 154-169
  • 15 Nikolopoulos C E, Tsirikos A I, Sourmelis S et al. The accessory anteroinferior tibiofibular ligament as a cause of talar impingement. A cadaveric study.  The American Journal of Sports Medicine. 2004;  32 389-395
  • 16 Robinson P, White L M. Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management.  Radiographics. 2002;  22 1457-1471
  • 17 Robinson P, White L M, Salonen D et al. Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.  American Journal of Roentgenology. 2002;  178 601-604
  • 18 Robinson P. Impingement syndromes of the ankle.  European Radiology. 2007;  17 3056-3065
  • 19 Rubin D A, Tishkoff N W, Britton C A et al. Anterolateral soft-tissue impingement in the ankle: diagnosis using MR imaging.  American Journal of Roentgenology. 1997;  169 829-835
  • 20 Sanders T G, Kabir Rathur S. Impingement syndromes of the ankle.  Magnetic Resonance Imaging Clinics of North America. 2008;  16 29-38
  • 21 Skib R A. Anterolateral soft-tissue impingement of the ankle, Letter to the editor.  Radiology. 1998;  209 885
  • 22 Tol J L, Dijk van N. Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study.  Foot & Ankle International. 2004;  25 382-386
  • 23 Umans H R, Cerezal L. Anterior ankle impingement syndromes.  Seminars in Musculoskeletal Radiology. 2008;  12 146-153
  • 24 Vicenzino B, Branjerdporn M, Teys P et al. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain.  Journal of Orthopaedic & Sports Physical Therapy. 2006;  36 464-471
  • 25

Jochen Schomacher

Kappeliweg 9

8703 Erlenbach ZH