Abstract
Ankle impingement syndromes are categorised according to their anatomical site around the tibiotalar joint. Anterolateral, anterior and posterior ankle impingement has been extensively described in the orthopaedic and radiology literature with more recent studies describing posteromedial and anteromedial impingement. This article aims to demonstrate the potential spectrum of imaging findings for each ankle impingement syndrome as well as the relative contributions of ultrasound and MR imaging for diagnosis and image-guided treatment.
Similar content being viewed by others
References
Ogilvie-Harris DJ, Gilbart MK, Chorney K (1997) Chronic pain following ankle sprains in athletes: the role of arthroscopic surgery. Arthroscopy 13:564–574
Ferkel RD, Karzel RP, Del Pizzo W, Friedman MJ, Fischer SP (1991) Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med 19:440–446
Bassett FH 3rd, Gates HS 3rd, Billys JB, Morris HB, Nikolaou PK (1990) Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am 72:55–59
Hamilton WG, Geppert MJ, Thompson FM (1996) Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment. J Bone Joint Surg Am 78:1491–1500
Paterson RS, Brown JN (2001) The posteromedial impingement lesion of the ankle. A series of six cases. Am J Sports Med 29:550–557
Robinson P, White LM, Salonen DC, Daniels TR, Ogilvie-Harris D (2001) Anterolateral ankle impingement: mr arthrographic assessment of the anterolateral recess. Radiology 221:186–190
Robinson P, Bollen SR (2006) Posterior ankle impingement in professional soccer players: effectiveness of sonographically guided therapy. AJR Am J Roentgenol 187:W53–W58
Messiou C, Robinson P, O’Connor PJ, Grainger A (2006) Subacute posteromedial impingement of the ankle in athletes: MR imaging evaluation and ultrasound guided therapy. Skeletal Radiol 35:88–94
Robinson P, White LM, Salonen D, Ogilvie-Harris D (2002) Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess. AJR Am J Roentgenol 178:601–604
Rubin DA, Tishkoff NW, Britton CA, Conti SF, Towers JD (1997) Anterolateral soft-tissue impingement in the ankle: diagnosis using MR imaging. AJR Am J Roentgenol 169:829–835
Liu SH, Raskin A, Osti L et al (1994) Arthroscopic treatment of anterolateral ankle impingement. Arthroscopy 10:215–218
Ferkel RD, Fasulo GJ (1994) Arthroscopic treatment of ankle injuries. Orthop Clin North Am 25:17–32
Bagnolesi P, Zampa V, Carafoli D, Cilotti A, Bartolozzi C (1998) Anterolateral fibrous impingement of the ankle. Report of 14 cases. Radiol Med (Torino) 95:293–297
Liu SH, Nuccion SL, Finerman G (1997) Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination. Am J Sports Med 25:389–393
Duncan D, Mologne T, Hildebrand H, Stanley M, Schreckengaust R, Sitler D (2006) The usefulness of magnetic resonance imaging in the diagnosis of anterolateral impingement of the ankle. J Foot Ankle Surg 45:304–307
Farooki S, Yao L, Seeger LL (1998) Anterolateral impingement of the ankle: effectiveness of MR imaging. Radiology 207:357–360
Jordan LK 3rd, Helms CA, Cooperman AE, Speer KP (2000) Magnetic resonance imaging findings in anterolateral impingement of the ankle. Skeletal Radiol 29:34–39
Hauger O, Moinard M, Lasalarie JC, Chauveaux D, Diard F (1999) Anterolateral compartment of the ankle in the lateral impingement syndrome: appearance on CT arthrography. AJR Am J Roentgenol 173:685–690
Chandnani VP, Harper MT, Ficke JR et al (1994) Chronic ankle instability: evaluation with MR arthrography, MR imaging, and stress radiography. Radiology 192:189–194
Helgason JW, Chandnani VP (1998) MR arthrography of the ankle. Radiol Clin North Am 36:729–738
van Dijk CN, Tol JL, Verheyen CC (1997) A prospective study of prognostic factors concerning the outcome of arthroscopic surgery for anterior ankle impingement. Am J Sports Med 25:737–745
van Dijk CN, Bossuyt PM, Marti RK (1996) Medial ankle pain after lateral ligament rupture. J Bone Joint Surg Br 78:562–567
Tol JL, Slim E, van Soest AJ, van Dijk CN (2002) The relationship of the kicking action in soccer and anterior ankle impingement syndrome. A biomechanical analysis. Am J Sports Med 30:45–50
Tol JL, van Dijk CN (2004) Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int 25:382–386
van Dijk CN, Lim LS, Poortman A, Strubbe EH, Marti RK (1995) Degenerative joint disease in female ballet dancers. Am J Sports Med 23:295–300
Martin DF, Baker CL, Curl WW, Andrews JR, Robie DB, Haas AF (1989) Operative ankle arthroscopy. Long-term followup. Am J Sports Med 17:16–23; discussion 23
Tol JL, Verheyen CP, van Dijk CN (2001) Arthroscopic treatment of anterior impingement in the ankle. J Bone Joint Surg Br 83:9–13
Cheng JC, Ferkel RD (1998) The role of arthroscopy in ankle and subtalar degenerative joint disease. Clin Orthop 65–72
Berberian WS, Hecht PJ, Wapner KL, DiVerniero R (2001) Morphology of tibiotalar osteophytes in anterior ankle impingement. Foot Ankle Int 22:313–317
Tol JL, Verhagen RA, Krips R et al (2004) The anterior ankle impingement syndrome: diagnostic value of oblique radiographs. Foot Ankle Int 25:63–68
Karasick D, Schweitzer ME (1996) The os trigonum syndrome: imaging features. AJR Am J Roentgenol 166:125–129
Bureau NJ, Cardinal E, Hobden R, Aubin B (2000) Posterior ankle impingement syndrome: MR imaging findings in seven patients. Radiology 215:497–503
Abramowitz Y, Wollstein R, Barzilay Y et al (2003) Outcome of resection of a symptomatic os trigonum. J Bone Joint Surg Am 85-A:1051–1057
Meislin RJ, Rose DJ, Parisien JS, Springer S (1993) Arthroscopic treatment of synovial impingement of the ankle. Am J Sports Med 21:186–189
Wakeley CJ, Johnson DP, Watt I (1996) The value of MR imaging in the diagnosis of the os trigonum syndrome. Skeletal Radiol 25:133–136
Peace KA, Hillier JC, Hulme A, Healy JC (2004) MRI features of posterior ankle impingement syndrome in ballet dancers: a review of 25 cases. Clin Radiol 59:1025–1033
Mitchell MJ, Bielecki D, Bergman AG, Kursunoglu-Brahme S, Sartoris DJ, Resnick D (1995) Localization of specific joint causing hindfoot pain: value of injecting local anesthetics into individual joints during arthrography. AJR Am J Roentgenol 164:1473–1476
Koulouris G, Connell D, Schneider T, Edwards W (2003) Posterior tibiotalar ligament injury resulting in posteromedial impingement. Foot Ankle Int 24:575–583
Liu SH, Mirzayan R (1993) Posteromedial ankle impingement. Arthroscopy 9:709–711
Mosier-La Clair SM, Monroe MT, Manoli A (2000) Medial impingement syndrome of the anterior tibiotalar fascicle of the deltoid ligament on the talus. Foot Ankle Int 21:385–391
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Robinson, P. Impingement syndromes of the ankle. Eur Radiol 17, 3056–3065 (2007). https://doi.org/10.1007/s00330-007-0675-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-007-0675-1