title: Posterior ankle impingement in dancers and athletes.
abstract: The diagnosis of posterior ankle impingement requires an accurate history and specific examination. Computed tomography is a useful investigation to diagnose bony impingement, especially where plain radiography and/or magnetic resonance imaging are sometimes inconclusive. Accurate ultrasound-guided steroid/anesthetic injections are useful interventions to locate the symptomatic lesions and reduce symptoms and occasionally prove curative. If surgical debridement or excision is deemed necessary, arthroscopic surgery via a posterior approach is recommended to excise impingement lesions with a quicker return to sport expected and minimal complications. Open surgical excision, however, remains a viable treatment option.
authors.affiliation: Chelsea and Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London SW10 9NH, UK. andrew.roche@me.com
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Roche
authors.forename: James D F
authors.initials: JD
authors.lastname: Calder
authors.forename: R
authors.initials: R
authors.lastname: Lloyd Williams
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000601:surgery; D000843:Ankle Joint / Q000473:pathology* / Q000601:surgery; D056352:Athletes; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D003615:Dancing / Q000293:injuries*; D006801:Humans; D008279:Magnetic Resonance Imaging; D019637:Orthopedic Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed