Abstract
Ankle impingement refers to a chronic painful mechanical limitation of ankle motion caused by soft-tissue or osseous abnormality affecting the tibiotalar joint or extraarticular soft tissues. Impingement can be associated with a prior single traumatic event or repetitive microtrauma, often in an adolescent with anatomical predisposition. Impingement syndromes at the tibiotalar joint can be subdivided into anterior, anterolateral, anteromedial, posterior or posteromedial. Extraarticular impingement can consist of talocalcaneal or subfibular impingement. Impingement syndromes are just one possible etiology of persistent ankle pain, and although the diagnosis is often made or suspected clinically, the radiologist might be the first person to raise the possibility of the diagnosis or be called upon to provide support for the clinically suspected diagnosis. In this article I review the etiology, imaging findings and current treatment associated with these conditions.
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References
Rubin DA, Tishkoff NW, Britton CA et al (1997) Anterolateral soft-tissue impingement in the ankle: diagnosis using MR imaging. AJR Am J Roentgenol 169:829–835
Bassett FH 3rd, Gates HS 3rd, Billys JB et al (1990) Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am 72:55–59
Berman Z, Tafur M, Ahmed SS et al (2017) Ankle impingement syndromes: an imaging review. Br J Radiol 90:20160735
Donovan A, Rosenberg ZS (2010) MRI of ankle and lateral hindfoot impingement syndromes. AJR Am J Roentgenol 195:595–604
Cochet H, Pele E, Amoretti N et al (2010) Anterolateral ankle impingement: diagnostic performance of MDCT arthrography and sonography. AJR Am J Roentgenol 194:1575–1580
Farooki S, Yao L, Seeger LL (1998) Anterolateral impingement of the ankle: effectiveness of MR imaging. Radiology 207:357–360
Jordan LK 3rd, Helms CA, Cooperman AE, Speer KP (2000) Magnetic resonance imaging findings in anterolateral impingement of the ankle. Skelet Radiol 29:34–39
Ferkel RD, Tyorkin M, Applegate GR, Heinen GT (2010) MRI evaluation of anterolateral soft tissue impingement of the ankle. Foot Ankle Int 31:655–661
Robinson P, White LM, Salonen DC et al (2001) Anterolateral ankle impingement: MR arthrographic assessment of the anterolateral recess. Radiology 221:186–190
Nazarian LN, Gulvartian NV, Freeland EC, Chao W (2018) Ultrasound-guided percutaneous needle fenestration and corticosteroid injection for anterior and anterolateral ankle impingement. Foot Ankle Spec 11:61–66
Robinson P, White LM (2002) Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management. Radiographics 22:1457–1469
De Maeseneer M, Wuertzer S, de Mey J, Shahabpour M (2017) The imaging findings of impingement syndromes of the lower limb. Clin Radiol 72:1014–1024
Haller J, Bernt R, Seeger T et al (2006) MR-imaging of anterior tibiotalar impingement syndrome: agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography. Eur J Radiol 58:450–460
Shim DW, Kim S, Hwang Y et al (2018) Detection of the tram track lesion in the ankle joint: comparing 3.0-tesla magnetic resonance imaging and arthroscopy. Arthroscopy 34:866–871
Robinson P, White LM, Salonen D, Ogilvie-Harris D (2002) Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess. AJR Am J Roentgenol 178:601–604
Cerezal L, Abascal F, Canga A et al (2003) MR imaging of ankle impingement syndromes. AJR Am J Roentgenol 181:551–559
Oh CS, Won HS, Hur MS et al (2006) Anatomic variations and MRI of the intermalleolar ligament. AJR Am J Roentgenol 186:943–947
Kudas S, Donmez G, Isik C et al (2016) Posterior ankle impingement syndrome in football players: case series of 26 elite athletes. Acta Orthop Traumatol Turc 50:649–654
Aydingoz U, Melih Topcuoglu O, Gormez A et al (2016) Accessory anterolateral talar facet in populations with and without symptoms: prevalence and relevant associated ankle MRI findings. AJR Am J Roentgenol 207:846–851
Exner GU, Jacob HAC, Maquieira GJ (2017) Fibulocalcaneal impingement in a growing child with otherwise asymptomatic talocalcaneal coalition. J Foot Ankle Surg 56:1323–1327
Donovan A, Rosenberg ZS (2009) Extraarticular lateral hindfoot impingement with posterior tibial tendon tear: MRI correlation. AJR Am J Roentgenol 193:672–678
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Zbojniewicz, A.M. Impingement syndromes of the ankle and hindfoot. Pediatr Radiol 49, 1691–1701 (2019). https://doi.org/10.1007/s00247-019-04459-5
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DOI: https://doi.org/10.1007/s00247-019-04459-5