Imaging Manifestations of Ankle Impingement Syndromes

LiMarzi, Gary M.; Khan, Omar; Shah, Yashesh; Yablon, Corrie M.

doi:10.1016/j.rcl.2018.06.005

Cited by 27 publications

(17 citation statements)

References 45 publications

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“…In this study, the incidence of type III os trigonum was the highest among all types, and in a study of ballet dancers, the incidence rate of type III reached 44% [5,6,19,23], perhaps due to dancing from an early age, the development of os trigonum was affected. There was the pain in type III os trigonum, which was mostly caused by the thickening of the posterior capsule of ankle joint caused by impacted tenosynovitis of pollicis longus muscle and edema of soft tissue around it [18,24].…”

Section: Discussionmentioning

confidence: 52%

“…Repeated impacts on the posterior triangular bone of the adjacent soft tissue may cause pain in the posterior side of the ankle and swelling around the triangular bone [4,5]. The fracture of the posterior process of talus and the fracture of the posterior triangle of the talus are easy to be confused clinically, and computed tomography (CT) scans and magnetic resonance imaging can detect the associated bone and soft tissue abnormalities, thus complementing each other [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Fu¹,

Zeng

et al. 2019

Med Sci Monit

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Background The os trigonum is an accessory bone that is not fully fused with the talus during secondary ossification, and is one of the risk factors of posterior malleolus impact syndrome. The purpose of this study was to classify the os trigonum and to guide the diagnosis and treatment of related clinical diseases. Material/Methods Ankle computed tomography (CT) scans of 586 Chinese patients between October 2014 and October 2018 were reviewed. CT images of 1011 ankle joints were reconstructed to evaluate the classification of the os trigonum and the measurement of anatomical parameters. Results The incidences of os trigonum in 3 groups were determined as type I (1.9%), type II (10.5%), and type III (14.7%). The macro-axis of type II (0.89±0.31) cm was significantly larger than with type I (0.65±0.24 cm) and type III (0.74±0.23 cm) (p<0.05).The minor axis of similar of type I (0.41±0.23 cm) was significantly shorter than that of type II (0.58±0.32 cm) and type III (0.55±0.16 cm) (p<0.05).The distance from os trigonum to calcaneal tubercle was significantly different than that of type I (1.33±0.52 cm), type II (1.67±0.55 cm), and type III (1.84±0.45 cm) (p<0.05). Conclusions This study showed that os trigonum has a high incidence. Type I was the least common, the volume of type II was larger, and type III was more common. The anatomical parameters of each type may improve treatment of related diseases and the further development of ankle arthroscopic surgery.

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Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Fu¹,

Zeng

et al. 2019

Med Sci Monit

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“…The diagnosis is based on the consistent clinical symptoms, physical examinations and imaging findings. Radiography may show anterior spurs arising from anterior tibial plafond or/and dorsal talar neck, combining with posterior tibial plafond, elongated posterior talar process, or os trigonum [15]. CT can best demonstrate the spurs or small cortical avulsion fractures.…”

Section: Discussionmentioning

confidence: 99%

Combined anterior and posterior ankle impingement syndrome with nonunion of Cedell fracture in a 58-year-old female: a case report

Qin

Jin

Song

2020

BMC Musculoskelet Disord

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Background: Combined anterior and posterior ankle impingement has seldom been reported. Cedell fracture, fracture of posteromedial tubercle of talus, is an uncommon and easily missed injury which may elicit posteromedial ankle impingement. The injury mechanisms and management strategies of these two lesions have been reported individually. But the concurrent lesion of both of them has not been reported. Case presentation: We reported a 58-year-old female with combined anterior and posterior ankle impingement syndrome with nonunion of Cedell fracture in whom open osteophytes debridement, fracture internal fixation and posterior talotibial ligament reconstruction were performed. The AOFAS hindfoot score was 90 at 1 year follow-up. To our knowledge, this was the first reported case with anterior, posterior and posteromedial impingement which was treated operatively with an excellent short-term outcome. Conclusions: To fully recognize this occult lesion and avoid missing is imperative for reducing the morbidities. We suggest CT and MRI as excellent imaging modalities that can help the timely diagnosis and appropriate treatment for this combined impingement with circumferential lesions.

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“…Typical anterior ankle impingement is caused by the repeated forced impact of the tibial crest against the neck of the talus or the soft tissue, resulting in the formation of scar tissue, which become impacted. [6][7][8][9][10] Electrothermal denervation (ETD) describes the partial interruption of the sensitive nerve supply to the joint mucosa. A high-frequency current at the tip of the probe is guided by video-optical control to sclerotize the capsular and mucosal tissue along the front edge of the tibia and the neck of the talus.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

Fischer

Weber

Gramlich

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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The purpose of the study was to investigate the added value of electrothermal denervation (ETD) in arthroscopic debridement of anterior ankle impingement. Methods: Between May 2019 and December 2020, 58 patients who received arthroscopic anterior decompression for the impingement of the anterior tibiotalar joint were randomized to Group A (n ¼ 29) with ETD of synovial and capsular tissue of the ankle and Group B (n ¼ 29) without ETD. Patients included 37 men and 21 women, with a mean age of 42 years. The pain, range of motion (ROM), and function were recorded using the visual analog scale foot and ankle (VAS FA), the Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society Score (AOFAS), both preoperatively and postoperatively. Results: Twenty-four hours after surgery, the pain level at rest using the VAS (worst 10 points) was 3.8 points on average (

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Imaging Manifestations of Ankle Impingement Syndromes

Cited by 27 publications

References 45 publications

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Combined anterior and posterior ankle impingement syndrome with nonunion of Cedell fracture in a 58-year-old female: a case report

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

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