title: Medial impingement of the ankle in athletes.
abstract: BACKGROUND
  Medial impingement syndrome of the ankle is common in the athletic population. A marginal osteophyte on the leading edge of the medial talar facet and a corresponding "kissing" osteophyte on the tibia, in front of the medial malleolus, may abut and cause pain and limited dorsiflexion.
  
  
  BACKGROUND
  Palpation of the talar osteophyte and standard imaging-especially, the oblique view of the foot-are useful in making the diagnosis. Surgical removal of the osteophyte may be necessary.
  
  
  CONCLUSIONS
  Ankle impingement is commonly seen in running and jumping sports, especially if the athlete has a subtle cavus foot. It may be associated with ankle instability, osteochondritis dissecans of the talus, and stress fractures of the foot.
authors.affiliation: Michigan International Foot and Ankle Center, Pontiac, Michigan ; Orthopaedic Surgery, Wayne State University, Detroit, Michigan ; Michigan State University, East Lansing, Michigan.
authors.forename: Arthur
authors.initials: A
authors.lastname: Manoli