Endoscopic treatment of the posterior ankle impingement syndrome on amateur and professional athletes

Dinato, Mauro César Mattos e; Luques, Isabela Ugo; Freitas, Marcio de Faria; Filho, Miguel Viana Pereira; Ninomiya, André Felipe; Pagnano, Rodrigo Gonçalves; Etchebehere, Maurício

doi:10.1007/s00167-015-3747-9

Cited by 13 publications

(15 citation statements)

References 23 publications

(53 reference statements)

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“…2 Depending on the morbidity and imaging findings, treatment is initially accomplished conservatively, but open surgical and/or arthroscopic approaches have proven to have a safe and efficacious role. [7][8][9] The goal of this article was to review the relevant anatomy of the different compartments, describe the mechanisms of injury with common imaging findings, differential diagnoses when applicable and to review the different treatments options for ankle impingement syndromes.…”

Section: Introductionmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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Ankle impingement syndromes encompass a broad spectrum of post-traumatic and chronic degenerative changes that present with pain on specific movements about the ankle joint. Both amateur and professional athletes are disproportionately affected by these conditions, and while conservative measures can potentially treat an impingement syndrome, definitive therapy is often alleviated surgically. Imaging (including conventional radiography, ultrasound, CT and MRI) plays an invaluable role in the diagnosis and pre-surgical work-up. An anatomically based classification system is useful in these syndromes, as the aetiology, sites of pathology and preferred treatment methods are similarly based on anatomic locations about the ankle. This review focuses on the anatomic locations, pathophysiology, imaging considerations and brief discussion of therapies for each of the major anatomic ankle impingement syndromes.

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Section: Introductionmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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show abstract

“…A presença de quadro álgico nessa região é ainda mais comum entre atletas, podendo levar à queda na performance e longos períodos afastados do esporte. Vários autores têm chamado a atenção para essa síndrome, e como a mesma tem afetado diversas populações em diferentes modalidades esportivas (1)(2)(3) .…”

Section: Introductionunclassified

“…A hipertrofia do ligamento intermaleolar, da porção posterior do ligamento deltóide e dos ligamentos da subtalar posterior também são sítios álgicos nessa região. Essas alterações podem ocorrer após episódios de traumas no tornozelo e persistirem por longos períodos até o diagnóstico adequado (1)(2)(3) . Não é raro os pacientes com a síndrome possuírem antecedentes de entorse do tornozelo e da subtalar, sendo que uma grande parcela apresenta instabilidade mecânica dessas articulações.…”

Section: Introductionunclassified

“…Não é raro os pacientes com a síndrome possuírem antecedentes de entorse do tornozelo e da subtalar, sendo que uma grande parcela apresenta instabilidade mecânica dessas articulações. Sequelas de fraturas da região também podem provocar impacto sintomático local (1,2,7,8) .…”

Section: Introductionunclassified

“…O tratamento conservador desta condição baseia-se na analgesia, equilíbrio muscular e prevenção de situações que favoreçam a colisão e atrito das estruturas envolvidas (1,2) . Na falha, a abordagem cirúrgica apresenta boa indicação de acordo com resultados apresentados pela literatura (2,3) .…”

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Posterior ankle impingement syndrome in athletes

et al. 2019

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Objective: This study sought to evaluate the results of 10 athletes diagnosed with posterior ankle impingement syndrome (PAIS) treated with arthroscopy between 2016 and 2017 by the Sports Traumatology Center of our University. Methods: Patients were evaluated with regard to the presence of associated lesions, the etiology of PAIS, and treatment outcomes using a visual analog scale (VAS) and the American Foot and Ankle Society (AOFAS) scores. All cases were treated using an arthroscopic approach to the posterior ankle. Results: Six patients presented with ankle instability and were treated with Brostrom-Gould ligament repair as an adjuvant procedure. One patient had sinus tarsi syndrome, and this space was debrided. Injury of the peroneus brevis tendon was identified in two cases, and Achilles tendinopathy was identified in one individual. Only three patients did not receive adjuvant treatment. During surgery, five cases of trigonal processes, three cases of Stieda process, one case of hallux saltans, and one case of accessory ossicle of the fibula were identified as the causes of the impingement. The mean VAS score was 1.28 (0.6-2.5), and the mean AOFAS score was 88.6 (72-100). No complications were reported. Conclusion: Arthroscopic resection of the cause of the impingement, alone or in combination with the treatment of secondary conditions, was used to effectively treat pain and reestablish function. Level of Evidence IV; Therapeutic Studies; Case series.

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Ankle Arthroscopy From a Posterior Approach

Younger¹

2018

Operative Techniques: Foot and Ankle Surgery

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Endoscopic treatment of the posterior ankle impingement syndrome on amateur and professional athletes

Abstract: Level III.

Cited by 13 publications

References 23 publications

Ankle impingement syndromes: an imaging review

Ankle impingement syndromes: an imaging review

Posterior ankle impingement syndrome in athletes

Ankle Arthroscopy From a Posterior Approach

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