Pediatric Radiology

, Volume 49, Issue 12, pp 1691–1701 | Cite as

Impingement syndromes of the ankle and hindfoot

  • Andrew M. ZbojniewiczEmail author
Musculoskeletal imaging


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.


Ankle Adolescent Extraarticular Foot Hindfoot Impingement Magnetic resonance imaging 


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Conflicts of interest



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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Advanced Radiology Services, Helen DeVos Children’s HospitalMichigan State UniversityGrand RapidsUSA

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