Title |
Update on anterior ankle impingement
|
---|---|
Published in |
Current Reviews in Musculoskeletal Medicine, March 2012
|
DOI | 10.1007/s12178-012-9117-z |
Pubmed ID | |
Authors |
Tanawat Vaseenon, Annunziato Amendola |
Abstract |
Anterior ankle impingement results from an impingement of the ankle joint by a soft tissue or osteophyte formation at the anterior aspect of the distal tibia and talar neck. It often occurs secondary to direct trauma (impaction force) or repetitive ankle dorsiflexion (repetitive impaction and traction force). Chronic ankle pain, swelling, and limitation of ankle dorsiflexion are common complaints. Imaging is valuable for diagnosis of the bony impingement but not for the soft tissue impingement, which is based on clinical findings. MR imaging and MR arthrography are helpful in doubtful diagnoses and the identification of associated injuries. Recommended methods for initial management include rest, physical therapy, and shoe modification. If nonoperative treatment fails, arthroscopic bony or soft tissue debridement both offer significant symptomatic relief with long-term positive outcomes in cases that have no significant arthritic change, associated ligament laxity, and chondral lesion. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 7 | 50% |
Canada | 1 | 7% |
Australia | 1 | 7% |
Spain | 1 | 7% |
United States | 1 | 7% |
Unknown | 3 | 21% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 12 | 86% |
Practitioners (doctors, other healthcare professionals) | 1 | 7% |
Scientists | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Japan | 1 | <1% |
Netherlands | 1 | <1% |
United States | 1 | <1% |
Germany | 1 | <1% |
Unknown | 102 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 20 | 19% |
Student > Master | 17 | 16% |
Other | 9 | 8% |
Student > Doctoral Student | 8 | 8% |
Student > Postgraduate | 8 | 8% |
Other | 23 | 22% |
Unknown | 21 | 20% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 45 | 42% |
Sports and Recreations | 15 | 14% |
Nursing and Health Professions | 14 | 13% |
Psychology | 2 | 2% |
Agricultural and Biological Sciences | 1 | <1% |
Other | 7 | 7% |
Unknown | 22 | 21% |