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Ankle Impingement Disease Print

Ankle Impingement Disease

Impingement disease is characterized  with pain and limitation of ankle joint during plantar or dorsal flexion.

Why ankle impingements occurs?

Impingement disorders are classified in  two main groups as anterior ankle impingement and posterior ankle impingement.

Anterior impingement  causes limitation in dorsiflexion motion and pain in the front part of the ankle. It is  frequent basketball players, football players dancers irritations due to  recurrent ankle sprains. As a result the membrane thickens ,joint injuries and thickening of the ligaments occurs.This increase in volume up and disappeared in the tissues where the ankle talus and tibia-fibula joint pain is caused by trapped between the front face.It occurs in front of the bony protrusions  on the back of the tibia and the talus overtime.This is what we call the ankle dorsiflexion that prevents upward movement.

Posterior ankle impingement disease called on the back of the ankle impingement commonly seen in athletes like the ballerina and ballet that makes downward movement of the ankle (plantar flexion) commonly.However, at the back of the ankle bulge forming the lower portion of the talus is more pronounced in some people.It is like a shape of a separate bone called the os trigonum in some people. In the presence of Os trigonum,  the posterior ankle impingement disease seen in ballerinas those acting activities like bent down positions.

What kind of findings can be seen in impingement disease?

In impingement disease, pain increased due to the front of the ankle activity,pain is felt at the front of the ankle according to the limitation of movement, lifting up his wrist and ankle dorsiflexion movement upward loads.

Posterior ankle impingement (impingement) with disease activity or pain in the back of the ankle is more pronounced, especially descending the stairs. In these patients, pain is felt in the back of the ankle that we called the ankle plantar flexion limitation of plantar flexion and plantar flexion loads.

How can be  ankle impingement diagnosed?

In ankle impingement disease, diagnosis is made by physical examination. Impingement due to bone protrusions or os trigonuma provides benefit with radiographic examination. Orthopedist may want MRI study to distinguish other pathologies.

How is Ankle impingement (impingement) treated ?

The treatment of ankle impingement disease are anti-emflamatuar drug therapy and rest in tthe beginning. Foot anle ortheses restricting the movements of the ankle and provides  pain reduce. Despite of these treatments, if the symptoms are persistent then arthroscopic surgery can be planned.

What to do for ankle impingement (impingement) disease in arthroscopic surgery?

Whatever causing the impingement of the ankle, it can be treated by arthroscopic debridement procedure. If synovitis occurs the procedure called arthroscopical synovectomy. Both anterior bony protusisons causing anterior impingement and os trigonum causing posterior impingement can be well removed by arthrodcopic surgery..

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