Abstract
Ankle injuries have been identified as the single most common type of injury in 24/70 sports, with ankle sprain being the most common injury. Osteochondral injuries of the ankle have been reported in up to 50% of acute ankle sprains and fractures, most commonly in sporting injuries. Awareness of the seriousness of ankle sprains is critical, especially when the patient is unable to weight bear, raising concerns regarding the possibility of osteochondral lesions.
More complex “sprains” can lead to fractures in the proximal midfoot bones. Tarsal coalitions should be suspected as the site of pathology in patients with flat foot or unusual patterns of pain around the ankle.
This is a preview of subscription content, log in via an institution to check access.
References
Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am. 1989;71(8):1143–52.
Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41-A:988–1020.
Carli A, Leblanc E, Amitai A, Hamdy RC. The evaluation and treatment of pediatric tarsal coalitions: a critical analysis review. JBJS Rev. 2014;2(8). https://doi.org/10.2106/JBJS.RVW.M.00112.
Flick AB, Gould N. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot Ankle. 1985;5(4):165–85. https://doi.org/10.1177/107110078500500403.
Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94. https://doi.org/10.2165/00007256-200737010-00006.
Leumann A, Valderrabano V, Plaass C, Rasch H, Studler U, Hintermann B, et al. A novel imaging method for osteochondral lesions of the talus--comparison of SPECT-CT with MRI. Am J Sports Med. 2011;39(5):1095–101. https://doi.org/10.1177/0363546510392709.
Newman JS, Newberg AH. Congenital tarsal coalition: multimodality evaluation with emphasis on CT and MR imaging. Radiographics. 2000;20(2):321–32; quiz 526–7, 32. https://doi.org/10.1148/radiographics.20.2.g00mc03321.
O’Loughlin PF, Heyworth BE, Kennedy JG. Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle. Am J Sports Med. 2010;38(2):392–404. https://doi.org/10.1177/0363546509336336.
Zaw H, Calder JD. Tarsal coalitions. Foot Ankle Clin. 2010;15(2):349–64. https://doi.org/10.1016/j.fcl.2010.02.003.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this entry
Cite this entry
Strokon, A., Van der Wall, H. (2023). Ankle and Proximal Mid-Foot Pain. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_170
Download citation
DOI: https://doi.org/10.1007/978-3-031-26449-8_170
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-26448-1
Online ISBN: 978-3-031-26449-8
eBook Packages: MedicineReference Module Medicine