Abstract
Ankle impingement is a common condition occurring secondary to sprain or repeated microtrauma. Clinical symptoms are chronic pain located in the affected region and limited range of ankle motion. There are three types of ankle impingement syndrome: anterior impingement, which can be subdivided into anterolateral, anteromedial and purely anterior impingement; posterior impingement, which can be subdivided into posterior and posteromedial impingement; and calcaneal peroneal impingement which is secondary to planovalgus foot deformity. This paper evaluates physiological and clinical elements of these three types of ankle impingement syndrome as well as the role of ultrasound (US) imaging and US-guided treatment.
Riassunto
I conflitti di caviglia sono comuni, a seguito di distorsioni o di microtraumi ripetitivi, i sintomi clinici associati sono dolore cronico dalla topografia variabile e limitazione, più o meno dolorosa, dei movimenti. Complessivamente esistono tre tipi di conflitti: anteriori che possono essere suddivisi in antero-laterali, antero-mediali e anteriori puri, posteriori che possono essere divisi in posteriori e postero-mediali e calcaneo-peroneale, secondario al piede piatto valgo. Dei vari tipi di conflitto vengono valutati la fisiologia, la clinica, l’imaging ed il ruolo dell’ecografia. Viene infine considerata la possibilità di trattamenti terapeutici eco-guidati.
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Lionel Pesquer, Stephane Guillo, Philippe Meyer, Olivier Hauger declare that they have no conflict of interest related to this study.
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Pesquer, L., Guillo, S., Meyer, P. et al. US in ankle impingement syndrome. J Ultrasound 17, 89–97 (2014). https://doi.org/10.1007/s40477-013-0054-5
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DOI: https://doi.org/10.1007/s40477-013-0054-5