Download PDF
Semin Musculoskelet Radiol 2002; 06(2): 133-140
DOI: 10.1055/s-2002-32359
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Ankle Impingement Syndromes

Hilary Umans
  • Division of Musculoskeletal Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY
Further Information

Publication History

Publication Date:
20 June 2002 (online)

Also available at
    Permissions and Reprints

ABSTRACT

The term ``ankle impingement'' encompasses a broad range of conditions that are typically post-traumatic and often chronic. Various forms of mechanical impingement can result from synovial proliferation, bone spur formation, or ligamentous scarring and hypertrophy. Since symptoms and physical findings can mimic a variety of disorders, accurate diagnosis may remain elusive, and proper effective therapy may be delayed. The objective of this article is to define and elucidate the etiology of the various forms of ankle impingement, clarify the range of associated osseous and soft-tissue pathology, and describe the imaging features and therapeutic options.

KEYWORDS

Ankle impingement - magnetic resonance imaging - ankle arthroscopy

REFERENCES

  • 1 McMurray T P. Footballer's ankle.  J Bone Joint Surg Am . 1950;  32B 68-69
    PubMedGoogle Scholar
  • 2 Morris L J. Athlete's ankle in proceedings of the British Orthopaedic Association.  J Bone Joint Surg Am . 1943;  25B 220
    PubMedGoogle Scholar
  • 3 Branca A, Di Palma L, Bucca C, Visconti C S, Di Mille M. Arthroscopic treatment of anterior ankle impingement.  Foot Ankle Int . 1997;  18 418-423
    PubMedGoogle Scholar
  • 4 Van Dijk N C, Tol J L, Verheyen C. A prospective study of prognostic factors concerning the outcome of arthroscopic surgery for anterior ankle impingement.  Am J Sports Med . 1997;  25 737-745
    PubMedGoogle Scholar
  • 5 Liu S, Nuccion S, Finerman G. Diagnosis of anterolateral ankle impingement: comparison between magnetic resonance imaging and clinical examination.  Am J Sports Med . 1997;  25 389-393
    CrossrefPubMedGoogle Scholar
  • 6 Ferkel R D, Karzel R P, Del Pizzo W, Friedman M J, Fischer S P. Arthroscopic treatment of anterolateral impingement of the ankle.  Am J Sports Med . 1991;  19 440-446
    PubMedGoogle Scholar
  • 7 Helgason J W, Chandnani V P. MR arthrography of the ankle.  Radiol Clin of N Am . 1998;  36 729-738
    PubMedGoogle Scholar
  • 8 Wolin I, Glassman F, Sideman S, Levinthal D H. Internal derangement of the talofibular component of the ankle.  Surg Gynecol Obstet . 1950;  91 193-200
    PubMedGoogle Scholar
  • 9 Kim S H, Ha K I. Arthroscopic treatment for impingement of the anterolateral soft tissues of the ankle.  J Bone Joint Surg Am . 2000;  82B 1019-1021
    PubMedGoogle Scholar
  • 10 Bassett F H, Gates H S, Billys J B, Morris H B, Nikolaou P K. Talar impingement by the anteroinferior tibiofibular ligament: a cause of chronic pain in the ankle after inversion sprain.  J Bone Joint Surg Am . 1990;  72A 55-58
    PubMedGoogle Scholar
  • 11 Akseki D, Pinar H, Bozkurt M, Yaldiz K, Arac S. The distal fascicle of the anterior inferior tibiofibular ligament as a cause of anterolateral ankle impingement: results of arthroscopic resection.  Acta Orthop Scan . 1999;  70 478-482
    PubMedGoogle Scholar
  • 12 Hauger O, Moinard M, Lasalarie J C, Chauveaux D, Diard F. Anterolateral compartment of the ankle in the lateral impingement syndrome: appearance on CT arthrography.  AJR Am J Roentgenol . 1999;  173 685-690
    PubMedGoogle Scholar
  • 13 Jordan L, Helms C, Cooperman A, Speer K. Magnetic resonance imaging findings in anterolateral impingement of the ankle.  Skeletal Radiol . 2000;  29 34-39
    CrossrefPubMedGoogle Scholar
  • 14 Rubin D, Tishkoff N, Britton C, Conti S, Towers J. Anterolateral soft-tissue impingement in the ankle: diagnosis using MR imaging.  AJR Am J Roentgenol . 1997;  169 829-835
    PubMedGoogle Scholar
  • 15 Farooki S, Yao L, Seeger L. Anterolateral impingement of the ankle: effectiveness of MR imaging.  Radiology . 1998;  207 357-360
    PubMedGoogle Scholar
  • 16 Robinson P, White L, Salonen D, Daniels T, Ogilvie-Harris D. Anterolateral ankle impingement: MR arthrographic assessment of the anterolateral recess.  Radiology . 2001;  221 186-190
    PubMedGoogle Scholar
  • 17 DeBarardino T M, Arciero R A, Taylor D C. Arthroscopic treatment of soft-tissue impingement of the ankle in athletes.  Arthroscopy . 1997;  13 492-498
    CrossrefPubMedGoogle Scholar
  • 18 Liu S H, Raskin A, Osti L. Arthroscopic treatment of anterolateral ankle impingement.  Arthroscopy . 1994;  5 215-218
    PubMedGoogle Scholar
  • 19 Bureau N, Cardinal E, Hobden R, Aubin B. Posterior ankle impingement syndrome: MR imaging findings in seven patients.  Radiology . 2000;  215 497-503
    CrossrefPubMedGoogle Scholar
  • 20 Howse A JG. Posterior block of the ankle joint in dancers.  Foot Ankle . 1983;  3 81-84
    PubMedGoogle Scholar
  • 21 Marotta J J, Michelie L J. Os trigonum impingement in dancers.  Am J Sports Med . 1992;  20 533-536
    PubMedGoogle Scholar
  • 22 Brodsky A E, Khalil M A. Talar compression syndrome.  Foot Ankle . 1987;  7 338-344
    PubMedGoogle Scholar
  • 23 Quirk R. Common foot and ankle injuries in dance.  Orthop Clin North Am . 1994;  25 123-133
    PubMedGoogle Scholar
  • 24 Lapidus P W. A note on the fracture of the os trigonum.  Bull Hosp Joint Dis . 1972;  33 150-154
    PubMedGoogle Scholar
  • 25 Hedrick M R, McBryde A M. Posterior ankle impingement.  Foot Ankle . 1994;  15 2-8
    PubMedGoogle Scholar
  • 26 Martin B F. Posterior triangle pain: the os trigonum.  J Foot Surg . 1989;  28 312-318
    PubMedGoogle Scholar
  • 27 Blake R L, Lallas P J, Ferguson H. The os trigonum styndrome. A literature review.  J Am Podiatar Med Assoc . 1992;  82 154-161
    PubMedGoogle Scholar
  • 28 Rosenberg Z S, Cheung Y Y, Beltran J. Posterior intermalleolar ligament of the ankle: normal anatomy and MR imaging features.  AJR Am J Roentgenol . 1995;  165 387-390
    CrossrefPubMedGoogle Scholar
  • 29 Hamilton W G, Geppert M J, Thompson F M. Pain in the posterior aspect of the ankle in dancers: differential diagnosis and operative treatment.  J Bone Joint Surg Am . 1996;  78A 1491-1500
    PubMedGoogle Scholar
  • 30 Petty D R, Gibbon W W. MR imaging of professional soccer players presenting with persistant acute onset posterolateral ankle pain.  AJR Am J Roentgenol . 2001;  174(s) 40
    PubMedGoogle Scholar
  • 31 Wakely C J, Johnson D P, Watt I. The value of MR imaging in the diagnosis of the os trigonum syndrome.  Skeletal Radiol . 1996;  25 133-136
    CrossrefPubMedGoogle Scholar
  • 32 Johnson R P, Collier B D, Carrera G F. The os trigonum syndrome: use of bone scan in the diagnosis.  J Trauma . 1984;  24 762-764
    PubMedGoogle Scholar
  • 33 Fiorella D, Helms C, Nunley J. The MR imaging features of the posterior intermalleolar ligament in patients with posterior impingement syndrome of the ankle.  Skeletal Radiol . 1999;  28 573-576
    CrossrefPubMedGoogle Scholar
  • 34 Egol K, Parisien J S. Impingement syndrome of the ankle caused by a medial meniscoid lesion.  Arthroscopy . 1997;  3 522-525
    PubMedGoogle Scholar
  • 35 Mosier-La Clair S, Monroe M, Manoli A. Medial impingement syndrome of the anterior tibiotalar fascicle of the deltoid ligament of the talus.  Foot Ankle Int . 2000;  21 385-391
    PubMedGoogle Scholar
  • 36 Cheung Y, Rosenberg Z S. MR imaging of ligamentous abnormalities of the ankle and foot.  MRI Clin of North Am . 2001;  9 507-531
    PubMedGoogle Scholar
  • 37 Robinson P, White L M, Salonen D, Ogilvie-Harris D. Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.  AJR Am J Roentgenol . 2002;  18 601-604
    PubMedGoogle Scholar
  • 38 Jackson R, Wills R, Jackson R. Rupture of the deltoid ligament without involvement of the lateral ligament.  Am J Sports Med . 1988;  16 541-543
    PubMedGoogle Scholar
      >