Impingement is a clinical syndrome of end-range joint pain or motion restriction caused by the direct mechanical abutment of bone or soft tissues. Impingement syndromes at the ankle may occur after acute macrotrauma or repetitive microtrauma. Modern imaging modalities can show underlying diseases and anatomic variations and assist with patient management. Implicit in the definition of impingement as a clinical syndrome is that the diagnosis remains clinical, because imaging changes alone do not reliably predict symptoms or clinical relevance. This article reviews the anatomy, pathogenesis, clinical features, differential diagnosis, imaging, and management of various impingement syndromes around the ankle.
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http://dx.doi.org/10.1016/j.rcl.2012.11.005 | DOI Listing |
Arthroscopy
December 2024
Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA. Electronic address:
Purpose: To assess whether capsular closure during hip arthroscopy with periportal capsulotomy affects 2-year postoperative outcomes for femoroacetabular impingement syndrome (FAIS) patients without hypermobility.
Methods: A matched-cohort retrospective analysis of a single institutional database of patients who underwent hip arthroscopy with periportal capsulotomy for management of FAIS between 2014-2022 was performed. Study inclusion criteria consisted of FAIS patients who exhibited no signs of generalized ligamentous laxity (GLL) (Beighton score 0).
Zhongguo Gu Shang
December 2024
Department of Orthopaedics, Tangshan People's Hospital, Tangshan 063000, Hebei, China.
Objective: To explore clinical effect of arthroscopic modification of triangular fibrocartilage complex (TFCC) combined with oblique osteotomy shortening of distal ulna in treating ulna impact syndrome.
Methods: A retrospective analysis was performed on 49 patients with ulnar impingement syndrome admitted from 2017 to 2021, 3 patients were lost to follow-up, and 46 patients were finally included in study, including 23 males and 23 females, aged from 21 to 53 years old with an average of (36.5±3.
Musculoskeletal Care
December 2024
Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Background: Patient and clinician expectations of benefit from recommended management approaches may potentially impact the success of managing musculoskeletal conditions.
Methods: This was a multisite study in an advanced practice musculoskeletal service across Queensland, Australia. Relationships between patient and clinician (advanced physiotherapy practitioner) expectations of benefit, patient characteristics, and clinical outcome recorded 6 months later were explored with regression analysis in 619 patients undergoing non-surgical multidisciplinary care for either knee osteoarthritis (n = 286), low back pain (n = 249) or shoulder impingement syndrome (n = 84).
Korean J Pain
December 2024
Department of Physical Medicine and Rehabilitation, Health Science University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkiye.
Background: Evidence indicates that central sensitization (CS) plays a role in subacromial impingement syndrome (SIS). Reduced treatment response has been associated with pretreatment pain sensitization features, such as CS-related symptoms.
Methods: Patients who received subacromial steroid injection were evaluated before the injection, at the first and third months.
Arthroscopy
December 2024
NYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, West Palm Beach, FL. Electronic address:
Para-labral cysts in the acetabulum often occur in the setting of labral tears. While labral tears are commonly identified in femoroacetabular impingement syndrome, developmental dysplasia of the hip is also a cause of chondrolabral pathology. Our understanding of para-labral cysts has encouraged addressing the concomitant labral pathology, as this has been shown to result in cyst resolution.
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