title: Posterior ankle impingement.
abstract: Thirty cases of posterior ankle impingement in 28 patients were treated over a 10-year period (1982-1992). All conditions were caused by forced plantar flexion. An os trigonum or posterior process fracture was demonstrated radiographically in 63% of these cases, and an intact posterior process was demonstrated in 33%. Ten cases were lost to follow-up. Of the remaining 20 cases, in 18 patients 12 (60%) improved with nonoperative treatment; 8 (40%) required operative excision. The results were good to excellent in 7 patients and fair in 1 patient. Operative excision for the treatment of recalcitrant posterior ankle impingement can relieve symptoms and allow a return to full preinjury activities.
authors.affiliation: Department of Orthopaedic Surgery, University of South Alabama Medical Center, Mobile.
authors.forename: M R
authors.initials: MR
authors.lastname: Hedrick
authors.forename: A M
authors.initials: AM
authors.lastname: McBryde
mesh_terms: D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D002370:Casts, Surgical; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D017746:Joint Capsule / Q000293:injuries* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D013256:Steroids / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D013256:Steroids