Abstract
Posterior ankle impingement is a pain syndrome. It is a clinical diagnosis in which the patient experiences pain in the hindfoot when the ankle is forced into a plantar-flexed position. Surgical treatment involves removal of the impediment like os trigonum, scar tissue, or hypertrophic posterior talar process. The anatomical considerations, etiology, diagnostic processes, and differential diagnosis are described. The operative technique of endoscopic removal of an os trigonum and endoscopic treatment of a posterior talar process and a posterior soft tissue impingement are described in detail. The chapter also contains a section on pitfalls of these procedures.
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References
Abramowitz Y, Wollstein R, Barzilay Y, London E, Matan Y, Shabat S, Nyska M (2003) Outcome of resection of a symptomatic os trigonum. J Bone Joint Surg Am 85-A:1051–1057
De Leeuw PAJ, Golanó P, Clavero JA, Van Dijk CN (2010) Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc 18(5):594–600
Hamilton WG, Geppert MJ, Thompson FM (1996) Pain in the posterior aspect of the ankle in dancers. J Bone Joint Surg Am 78A:1491–1500
Hedrick MR, McBryde AM (1994) Posterior ankle impingement. Foot Ankle Int 15:2–8
Lapidus PW (1972) A note on the fracture of the os trigonum. Bull Hosp Joint Dis 33:150–154
Lijio F, Lughi M, Baccarani G (2003) Posterior arthroscopic approach to the ankle: an anatomic study. Arthroscopy 19(1):62–67
Ludolph E, Hierholzer G (1986) Anatomie des Bandapparates am oberen Sprunggelenk. Orthopade 15(6):410–414
Marotta JJ, Micheli LJ (1992) Os trigonum impingement in dancers. Am J Sports Med 20:533–536
Richardson EG (1992) Disorders of tendons. In: Grenshaw AH (ed) Campbell’s operative orthopaedics. CV Mosby Company, St. Louis, pp 2851–2873
Salyers SG, Fu FH (1989) Posterior ankle impingement syndrome in a ballet dancer. Orthop Cons 10:9–12
Scholten P, Sierevelt I, Van Dijk CN (2008) Hindfoot endoscopy for posterior ankle impingement. J Bone Joint Surg Am 90(12):2665–2672
Sitler DF, Amendola A, Bailey CS, Thain LM, Spouge A (2002) Posterior ankle arthroscopy: an anatomic study. J Bone Joint Surg Am 84-A(5):763–769
Stibbe AB, Van Dijk CN, Marti RK (1994) The os trigonum syndrome. Acta Orthop Scand Suppl 262:59–60
Van Bergen CJA, Blankevoort L, De Haan RJ, Sierevelt IN, Meuffels DE, d’Hooghe PRN, Krips R, Van Damme G, Van Dijk CN (2009) Pulsed electromagnetic fields after arthroscopic treatment for osteochondral defects of the talus: double blind randomized controlled multicenter trial. BMC Musculoskelet Disord 10:83
Van den Bekerom MPJ, Oostra RJ, Golanó Alvarez P, Van Dijk CN (2008) The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat 21:619–626
Van Dijk CN (1990) Arthroscopie van het bovenste spronggewricht. In: van Mourik JB, Patka P (eds) Letsels van de enkel en voet. CSM, Haren, pp 69–86
Van Dijk CN (1994) On diagnostic strategies in patients with severe ankle sprain. Thesis, Universiteit van Amsterdam, Amsterdam
Van Dijk CN (2000) Hindfoot endoscopy. Sports Med Arthrosc Rev 8:365–371
Van Dijk CN, Scholte D (1997) Arthroscopy of the ankle joint. Arthroscopy 13(1):90–96
Van Dijk CN, Lim LS, Poortman A, Strubbe EH, Marti RK (1995) Degenerative joint disease in female ballet dancers. Am J Sports Med 23:295–300
Van Dijk CN, Scholten PE, Krips R (2000) A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy 16(8):871–876
van Dijk CN, Verhagen RA, Tol HJ (2001) Technical note: resterilizable noninvasive ankle distraction device. Arthroscopy 17:E12
Van Dijk CN, Stibbe AB, Marti RK (2002) Posterior ankle impingement. In: Nyska M, Mann G (eds) The unstable ankle. Human Kinetics, Champaign, pp 139–148
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van Dijk, C.N. (2014). Posterior Ankle Impingement. In: Ankle Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35989-7_13
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DOI: https://doi.org/10.1007/978-3-642-35989-7_13
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