Subfibular impingement, which refers to
either soft tissue or osseous impingement between the distal fibula and calcaneus
, is characterized by pain at the lateral aspect of the hindfoot and often coexists with talocalcaneal and sinus tarsi impingement.
What causes Subfibular impingement?
Subfibular impingement is one cause of
extraarticular ankle impingement associated with lateral ankle pain
and is typically associated with pes planovalgus resulting from posterior tibial tendon dysfunction or calcaneal fracture malunion.
How do you treat ankle impingement?
The treatment for anterior impingement in the ankle can include
physical therapy
to help improve the range of motion and break down scar tissue, anti-inflammatory medications to relieve pain and swelling, and ultimately surgery to remove the tissue or bone that is causing the blockage.
What are the symptoms of ankle impingement?
- Pain on the front and/or outside of the ankle joint.
- A feeling of ankle instability.
- Decreased ankle range of motion when stretching your toes up toward your shin.
- Pain at the end-range of stretching your toes toward your shin.
- Tenderness at the front of the ankle when touched.
What is Hindfoot impingement?
Main points. Lateral hindfoot impingement is
bony abutment of the talus and calcaneum
(talocalcaneal impingement) and of the fibula (subfibular impingement) with entrapment of the lateral soft tissues of the hindfoot.
How do you test for ankle impingement?
The clinical test for anterolateral ankle impingement is the impingement test or Molloy-Bendall test. Athletes
perform this by dorsiflexing the ankle while simultaneously palpating and pressing the anteromedial ankle joint area
.
What is medial impingement?
Medial impingement syndrome develops
with spur formation along the most anterior portion of the medial talar facet
and a corresponding “kissing” osteophyte just anterior to the corner of the medial ankle mortise and the front of the medial malleolus. The 2 spurs abut during ankle dorsiflexion (Figure 2).
Does ankle impingement go away?
Return to activity or sport depends on the individual, but athletes with uncomplicated cases
are able to return within a 4- to 6-week time frame
. It may take longer for the pain to go away completely but this should not impact the ability to perform sport-specific activities prior to return.
Do I have ankle impingement?
Posteromedial: A key clinical finding for a patient with a posteromedial impingement is
tenderness to the posteromedial aspect upon inversion with the ankle in
plantar flexion. Tenderness is most seen in passive ankle inversion and passive plantar flexion. There is also pain in the posteromedial region of the ankle.
How common is ankle impingement?
The most common ankle injury is a sprain of the ATFL, which typically results from a plantar flexion/inversion mechanism,
12 , 13
and impingement is an uncommon sequela (occurring
in approximately 2% of cases
).
How do you get an ankle impingement?
A common source of chronic ankle pain among athletes is anterior ankle impingement. This condition, sometimes called “footballer’s ankle,” causes pain in the front of the ankle joint. It’s caused by
buildup of scar tissue or bone spurs
, usually in response to an acute injury or chronic stress on the ankle.
How does anterior ankle impingement happen?
Anterior ankle impingement syndrome is a condition that occurs
when bone spurs form in the front of the ankle joint
. The bone spurs can either form on the end of the shin bone (the tibia), on top of the ankle bone (the talus), or on both.
Why does the top front of my ankle hurt?
How does it happen? Anterior ankle impingement is
caused by traumatic or repetitive compression to the structures at
the front of the ankle as the tibia and talus move towards each other during movements. The tissues that are affected become damaged and inflamed, causing the pain typical of ankle impingement.
How do I fix my hindfoot valgus?
The medial sliding osteotomy of the calcaneus
is a simple and effective treatment for hindfoot valgus in pediatric patients with severe hindfoot valgus. It provides excellent correction of the deformity, allows early weight bearing, and preserves subtalar motion.
What is the extra bone in your ankle called?
What Is
the Os Trigonum
? The os trigonum is an extra (accessory) bone that sometimes develops behind the ankle bone (talus). It is connected to the talus by a fibrous band.
What is a heel slide surgery?
Medial calcaneal sliding osteotomy is a
surgical procedure designed to dramatically modify the existing shape of your foot
, creating an arch to correct flat feet.
