title: [Posterior ankle impingement syndrome].
abstract: Posterior ankle impingement syndrome (PAIS) is a clinical syndrome characterized by posterior ankle pain which occurs in maximal forced plantar flexion of the foot. PAIS can be the result of an acute injury of the ankle, which is more often in general population, or it can be the result of the overuse syndrome, which is more often in athletes and ballet dancers. The etiology of PAIS may involve bony structures or soft tissue structures, or, more often, the combination of both. The diagnosis of PAIS is based on patient's clinical history and physical examination with the hyperplantarflexion test as a very important part of it. Physical examination should be completed with imaging techniques, which most often include magnetic resonance imaging (MRI) or computed tomography (CT) to confirm the diagnosis of PAIS. Conservative treatment is recommended as the primary treatment strategy. In those cases where 3 to 6 months of conservative treatment fails, open or, more often, arthroscopic/endoscopic surgery may be recommended. Nowadays, a 2-portal endoscopic approach introduced by van Dijk et al. in 2000 is the method of choice for the treatment of posterior ankle impingement syndrome.
authors.forename: Ivan
authors.initials: I
authors.lastname: Bojanić
authors.forename: Tamara
authors.initials: T
authors.lastname: Janjić
authors.forename: Damjan
authors.initials: D
authors.lastname: Dimnjaković
authors.forename: Sanja
authors.initials: S
authors.lastname: Križan
authors.forename: Tomislav
authors.initials: T
authors.lastname: Smoljanović
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D018771:Arthralgia / Q000209:etiology; D001182:Arthroscopy; D001265:Athletic Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012090:Cumulative Trauma Disorders / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D013577:Syndrome; D014057:Tomography, X-Ray Computed