Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment.
A retrospective review was performed of the results of operative treatment of stenosing tenosynovitis of the flexor hallucis longus tendon or posterior impingement syndrome, or both, in thirty-seven dancers (forty-one operations). The average duration of follow-up was seven years (range, two to thirteen years). The results were assessed with use of a questionnaire for all patients, and a clinical evaluation was performed for twenty-one patients (twenty-two ankles). Twenty-six operations were performed for tendinitis and posterior impingement; nine, for isolated tendinitis; and six, for isolated posterior impingement syndrome. A medial incision was used in thirty-three procedures; a lateral incision, in six; an anterior and a medial incision, in one; and a lateral and a medial incision, in one. Thirty ankles had a good or excellent result; six, a fair result; and four, a poor result. (The result of the second procedure on an ankle that was operated on twice was not included.) The result was good or excellent for twenty-eight of the thirty-four ankles in professional dancers, compared with only two of the six ankles in amateur dancers.
Hamilton
W G
WG
St. Luke's-Roosevelt Hospital, New York City, USA.
Geppert
M J
MJ
Thompson
F M
FM
D000293:Adolescent; D000328:Adult; D000843:Ankle Joint / Q000601:surgery*; D012090:Cumulative Trauma Disorders / Q000175:diagnosis / Q000601:surgery*; D003615:Dancing; D003937:Diagnosis, Differential; D004651:Employment; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000601:surgery; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D011182:Postoperative Care; D011183:Postoperative Complications; D012189:Retrospective Studies; D013717:Tenosynovitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome