title: Pathoanatomy of Anterior Ankle Impingement in Dancers.
abstract: Articles from the anatomy, orthopaedic, and radiology literature since 1943 were reviewed, and possible sources of anterior ankle impingement were identified therein. There are both osseous and soft tissue causes of impingement symptoms. Anterior impingement in dancers may be induced by repetitive dorsiflexion during demi-plié, where the anterior edge of the distal tibial articular surface contacts the dorsal neck of the talus. It also can be associated with the sequelae of lateral ankle sprain, including a hypertrophic tissue response, or simply by impingement of anatomically normal ligamentous structures. Dance medicine clinicians should be familiar with the pathoanatomy and etiologies of this clinical entity in order to provide effective care for dancers who suffer from it.
authors.affiliation: Ohio University, School of Applied Health Sciences and Wellness, Grover Center E335, Athens, Ohio 45701, USA. jeffr@choreohealth.com.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Russell
authors.affiliation: Orthopaedic Specialty Institute, Orange, California, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Kruse
authors.affiliation: Department of Exercise Sciences, University of Thessaly, Trikala, Greece; School of Sport, Performing Arts and Leisure, University of Wolverhampton, Walsall, UK.
authors.forename: Yiannis
authors.initials: Y
authors.lastname: Koutedakis
authors.affiliation: School of Sport, Performing Arts and Leisure, University of Wolverhampton, Walsall, UK.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Wyon
mesh_terms: D016512:Ankle Injuries / Q000473:pathology*; D000843:Ankle Joint / Q000503:physiopathology*; D003615:Dancing / Q000293:injuries*; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology*; D016059:Range of Motion, Articular; D013314:Stress, Mechanical