388 results match your criteria: "Ankle Impingement Syndrome"
Prevalence and clinical aspects of os trigonum: a meta-analysis.
Anat Sci Int
November 2024
Department of Orthopedics and Rehabilitation, Jagiellonian University Medical College, Balzera 15, 34-500, Zakopane, Poland.
Article Synopsis
- Os trigonum (OT) is a common accessory bone in the foot that affects about 9% of people and is more prevalent in East Asia (11%), with soft tissue imaging methods like MRI and CT revealing higher rates compared to X-rays or cadaver analyses.* -
- This study analyzed 41 research articles and found that OT can be present bilaterally in about 32.7% of cases, suggesting a significant anatomical variation.* -
- There is a strong association between OT and posterior ankle impingement syndrome (PAIS), with patients having PAIS being nearly 16 times more likely to also have OT.*
Arthroscopic Management of Posterior Ankle Impingement Syndrome - A Case Series.
J Orthop Case Rep
November 2024
Department of Orthopedics, Shri B M Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India.
Introduction: Posterior ankle impingement is a common cause of chronic ankle pain. Although nonoperative treatment is initially preferred, there are surgical options if the symptoms are persistent. Minimally invasive arthroscopic procedures reduce surgical trauma and enable an early return to routine activities.
View Article and Find Full Text PDFProposed Classification of Syndesmotic Soft Tissue Impingement and Its Association With Lateral Talar Cartilage Lesions.
Foot Ankle Int
December 2024
Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Article Synopsis
- Syndesmotic impingement syndrome is linked to ongoing lateral or anterolateral ankle pain, commonly occurring after a rotational injury.
- A study analyzed 107 ankles of patients who underwent surgery for this syndrome, assessing the types of tissue involved and their relationship with cartilage damage.
- The findings revealed that fibrotic tissue was the most common type of impingement and was significantly associated with cartilage lesions in the lateral talar dome, indicating the need for careful evaluation in patients with prolonged ankle pain.
Functional and Radiological Outcome after Internal Fixation of Intra-articular Calcaneal Fractures.
J Orthop Case Rep
August 2024
Department of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
Article Synopsis
- * A study conducted at Chettinad Hospital assessed 32 male patients with intra-articular calcaneal fractures over two years, using the AOFAS scoring system to evaluate functional outcomes post-internal fixation.
- * Results showed an average age of 39 years, with falls being the common cause of injury; the mean hospital stay was about 10 days, while post-surgical measurements indicated significant restoration of heel structure and alignment compared to pre-operative values.
Foot and Ankle MRI Findings in Asymptomatic Professional Ballet Dancers.
Orthop J Sports Med
August 2024
Fortius Clinic FIFA Medical Centre of Excellence, London, UK.
Article Synopsis
- - This study examines foot and ankle MRI scans of asymptomatic ballet dancers to identify the presence of bone marrow edema and determine if these findings lead to symptoms within a year.
- - Out of 62 analyzed feet/ankles, 82% showed at least one area of bone marrow edema, predominantly in the talus, with fluid observed in various ankle joints and around tendons.
- - Despite the high prevalence of abnormal MRI findings, only two dancers developed symptoms in the following year, suggesting that these findings may not always indicate future issues.
Flexor hallucis longus impingement syndrome: A case report.
Int J Surg Case Rep
August 2024
Department of Orthopaedics and Traumatology, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Article Synopsis
- Long-term friction of the FHL tendon sheath from sports can lead to tendinitis, causing foot and ankle pain that affects daily life; arthroscopy is useful for diagnosis and treatment.
- A 28-year-old woman had left ankle pain due to an injury, resulting in an ATFL tear; arthroscopic surgery significantly relieved her pain and restored her ability to walk and perform daily activities.
- The FHL tendon sheath can experience impingement during ankle movement, and if conservative treatments fail, arthroscopic surgery is recommended for its effectiveness and minimally invasive nature; careful surgical technique is essential to avoid complications.
Os trigonum: a discussion of its role in posterior ankle impingement syndrome and a meta-analysis of its prevalence.
Surg Radiol Anat
July 2024
Morphology Department, Biomedical Institute, Universidade Federal Fluminense, Alameda Barros Terra, 57 - São Domingos, Niterói, Rio de Janeiro, 24020-150, Brasil.
Article Synopsis
- The study investigates the prevalence of the os trigonum, a small bone that can cause ankle issues, particularly posterior ankle impingement syndrome.
- A comprehensive meta-analysis was conducted using data from 249 papers, narrowing down to 18 studies with a total of 17,626 ankles; it found a pooled prevalence of 10.3% for the os trigonum.
- The findings indicate that while the os trigonum is quite common, diagnosis may vary depending on the type of study conducted, which can be helpful for clinicians dealing with related ankle conditions.
Safety and clinical efficacy of double posterolateral coaxial portals for endoscopic management of posterior ankle impingement syndrome.
Asia Pac J Sports Med Arthrosc Rehabil Technol
July 2024
Sports Medicine Center, Southwest Hospital, The Army Military Medical University, No. 30, Gaotanyan Street, Chongqing, 400038, China.
Article Synopsis
- This study investigates the use of double posterolateral coaxial portals for endoscopic treatment of posterior ankle impingement syndrome (PAIS), focusing on safety and clinical effectiveness.
- The safety evaluation involved analyzing the distance between the surgical portals and the sural nerve at various ankle positions, showing a significant safety margin.
- In a follow-up of 38 patients, the procedure showed high satisfaction rates (94.7%), no complications, and notable improvements in pain and function based on standardized scoring systems.
Effect of simultaneous bilateral surgery or simultaneous arthroscopic ankle lateral ligament repair in hindfoot endoscopic surgery for posterior ankle impingement syndrome in athletes.
Foot Ankle Surg
August 2024
Department of Orthopaedic Surgery, Lake Town Hospital of Orthopaedics, Koshigaya, Japan.
Article Synopsis
- Posterior ankle impingement syndrome (PAIS) can occur alongside issues like bilateral cases and lateral ankle ligament injuries, but research on their simultaneous surgical treatments is limited.
- A study followed 76 athletic patients who had endoscopic hindfoot surgery for PAIS, analyzing outcomes based on whether they had unilateral or bilateral surgery and if they received ligament repair.
- After 2 years, all patients returned to full athletic activity, showing no significant differences in recovery times or subjective outcomes between the different surgical approaches.
Posterior Ankle Impingement: It's Not Only About the Os Trigonum.
Foot Ankle Orthop
January 2024
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Article Synopsis
- The study focuses on how os trigonum and Stieda process contribute to posterior ankle impingement syndrome (PAIS), which is typically diagnosed using imaging techniques, but these may miss deeper tissue issues.* -
- Researchers reviewed 111 cases of patients who underwent posterior ankle and hindfoot arthroscopy (PAHA) for PAIS due to trigonal impingement to identify any additional conditions present.* -
- Results showed that 58.6% of patients had associated pathologies, especially flexor hallucis longus (FHL) disorders, with significant differences in outcomes based on whether the cause was os trigonum or Stieda.*
Single-Leg Heel Raise Capacity is Lower, and Perceived Ankle Instability is Greater, in Dancers and Athletes With Posterior Ankle Impingement Syndrome.
Clin J Sport Med
July 2024
La Trobe University Sport and Exercise Medicine Research Centre, Bundoora, VIC, Australia; and.
Article Synopsis
- The study aimed to compare clinical findings between elite athletes diagnosed with posterior ankle impingement syndrome (PAIS) and those without.
- It involved a group of 10 athletes with PAIS matched with 10 without, examining various physical tests and questionnaires related to ankle function and stability.
- Results showed that athletes with PAIS performed worse in single-leg heel raise tests and reported higher levels of ankle instability, highlighting the need for targeted management of these functional deficits.
Validation of anterior ankle soft tissue dynamics and shear modulus for anterior ankle impingement syndrome after ankle fracture surgery.
Sci Rep
March 2024
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Shimami-cho, 1398, Kita-ku, Niigata City, Niigata, 950-3198, Japan.
Article Synopsis
- Anterior ankle impingement syndrome (AAIS) is a common complication after ankle fracture surgery, primarily caused by inflammation and thickening of soft tissues around the tibiotalar joint, which leads to pain and restricted movement.
- A study involving 20 postoperative patients and 20 healthy controls aimed to analyze the relationship between AAIS and the changes in soft tissue thickness and stiffness using ultrasound technology.
- The results showed no significant difference in thickness changes between the groups, but the stiffness of the soft tissues was notably higher in the postoperative group at both 3 and 6 months, indicating that stiffness may increase after surgery.
Nonsteroidal Anti-Inflammatory Drug Injections versus Steroid Injections in the Management of Upper and Lower Extremity Orthopedic Conditions: A Systematic Review with Meta-Analysis.
J Clin Med
February 2024
Department of Physical Medicine and Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02115, USA.
Article Synopsis
- Corticosteroid injections are commonly used to treat musculoskeletal issues, but they aren't suitable for everyone, prompting a systematic review of NSAID versus corticosteroid injections.
- The review included 28 studies with over 2,100 patients, analyzing outcomes like pain relief in conditions such as shoulder impingement and knee osteoarthritis.
- Results showed no significant differences in pain levels between NSAID and corticosteroid injections at 1 and 3 months, indicating NSAIDs may be a safe and effective alternative, particularly for shoulder and knee issues.
The Utilization of Minimally Invasive Surgery for Os Trigonum Syndrome: A Systematic Review.
Am J Sports Med
July 2024
Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Article Synopsis
- A symptomatic os trigonum, a common cause of posterior ankle pain, has typically been treated with open excision, but minimally invasive surgery (MIS) is being explored as a potentially better option.
- A systematic review of 17 studies involving 435 patients showed that MIS significantly improved patient outcomes, with notable increases in postoperative function and substantial reductions in pain.
- The MIS approach had a low complication rate (5.0%) and enabled a quick return to sports (about 7.76 weeks), suggesting it might be a strong alternative to traditional open surgery, although more research is needed to confirm its superiority.
Anterior Ankle Impingement Syndrome With Spur Fragmentation: Is It an Os Talotibiale?
Foot Ankle Orthop
January 2024
Nara Medical University, School of Medicine, Kashihara-shi, Nara, Japan.
Article Synopsis
- Bone fragments in ankles with anterior bony impingement can either be detached osteophytes or accessory bones, though their exact nature is unclear.
- In a study involving 66 individuals, 32 had fragments on the anterior tibia, with two groups formed: those without (group A) and with marked spurs (group B).
- Post-surgery, group A had significantly better outcomes in both ankle condition and sports activity return rates compared to group B, indicating that fragments without spurs can lead to more successful treatment.
Article Synopsis
- Os trigonum syndrome is a common cause of posterior ankle pain in athletes, primarily due to the os trigonum ossicle, which results from a secondary ossification center in the talus.
- The condition often arises from repetitive movements like plantarflexion, leading to symptomatic cases that require orthopedic care.
- The article reviews relevant anatomy, symptoms, diagnostic methods, and treatment options, which can vary from conservative measures to surgery depending on each individual's situation.
Dynamic joint stiffness in individuals with femoroacetabular impingement syndrome pre- and post-hip arthroscopy.
Clin Biomech (Bristol)
February 2024
Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA; Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Ave, Columbus, OH 43210, USA.
Article Synopsis
- - Patients with hip pain often struggle to regain their activity levels after hip arthroscopy, potentially due to changes in how their joints manage movement, particularly during high-impact activities.
- - A study involving 25 participants with hip pain and 19 healthy controls measured dynamic joint stiffness during drop jumps before and six months after surgery, highlighting differences in stiffness changes between genders.
- - Findings revealed that females had decreased ankle stiffness while males showed increased hip stiffness after surgery, suggesting that rehabilitation approaches may need to be sex-specific to enhance recovery and optimize return to activity.
Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol.
J Funct Morphol Kinesiol
December 2023
Dental School, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40125 Bologna, Italy.
Article Synopsis
- Dental professionals face significant physical stress, leading to high rates of work-related musculoskeletal disorders (WMSDs), particularly affecting the low back and hips.
- A Yoga protocol has been developed specifically for dental professionals to help prevent and treat these musculoskeletal issues, featuring adapted positions that can be practiced in a dental office setting.
- The protocol includes over 60 targeted yoga poses aimed at relieving tension in the back, hips, and legs, with detailed descriptions and tips for correct practice.
Patterns of ankle injury in soccer: MRI clues to traumatic mechanism.
Skeletal Radiol
December 2023
Department of Radiology, University of Alabama at Birmingham, UAB Medical Center, Birmingham, AL, USA.
Article Synopsis
- Understanding the mechanisms of ankle injuries in soccer is essential for accurate MRI diagnoses, as some injury patterns are unique to the sport compared to other athletic activities.* -
- Common injuries in soccer include lateral ligaments sprains and various impingement syndromes, with a notable increase in medial injuries relative to other sports.* -
- Long-term effects of ankle injuries in soccer, including acute and chronic issues, often lead to higher rates of ankle osteoarthritis among professional players than both the general population and former elite athletes in other sports.*
Running Alterations Pre- and Postarthroscopy for Femoroacetabular Impingement Syndrome and Labral Tears.
J Strength Cond Res
March 2024
Department of Kinesiology and Rehabilitation Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii.
Article Synopsis
- The study focused on comparing running biomechanics and patient-reported outcomes in individuals with femoroacetabular impingement syndrome (FAIS) before and after arthroscopy, against age-matched controls.
- Nineteen subjects participated, including ten with FAIS and nine controls, and various performance measures were evaluated using statistical analysis.
- Results showed that while patients with FAIS achieved similar UCLA activity scores to controls postoperatively, they exhibited altered running biomechanics and lower scores in certain functional outcomes, indicating the need for tailored rehabilitation approaches.
The Evolution of Sinus Tarsi Syndrome-What Is the Underlying Pathology?-A Critical Review.
J Clin Med
October 2023
Department of Orthopaedics, Faculty of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, BC V6T 1Z4, Canada.
Article Synopsis
- Sinus tarsi syndrome (STS) refers to pain in the lateral area of the tarsal sinus, but its exact cause is not well understood, and some question if it is a real condition.
- This review analyzes existing literature to clarify STS, suggesting that it may just be a broad term for various causes of pain in that area, including impingement and instability.
- The authors recommend thorough patient evaluations and propose using specific diagnoses instead of STS, allowing for more targeted and effective treatment options.
Arthroscopic treatment of ankle impingement syndrome.
Chin J Traumatol
November 2023
Center for Joint Surgery, Southwest Hospital, Third Military University (Amy Medical University), Chongqing, 400038, China. Electronic address:
Article Synopsis
- - Arthroscopic treatment of ankle impingement syndrome (AIS) is a minimally invasive surgery that aims to relieve symptoms like pain and restricted movement in the ankle caused by abnormal bone or tissue contact.
- - This newer method has gained popularity over traditional open surgery due to advancements in technology, offering better visualization and more precise treatment.
- - The paper reviews the clinical effectiveness of arthroscopic procedures for AIS and seeks to support its further adoption in medical practices.
Association of Changes in Hip and Knee Kinematics During a Single-Leg Squat With Changes in Patient-Reported Outcomes at 6 Months and 1 Year After Hip Arthroscopy.
Am J Sports Med
November 2023
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Article Synopsis
- This study investigates the impact of arthroscopic hip surgery on the biomechanics of single-leg squats in patients with femoroacetabular impingement syndrome (FAIS), focusing on dynamic range of motion (ROM).
- Researchers aimed to see if lower extremity dynamic ROM improves after surgery and if this improvement relates to patient-reported outcomes like pain levels and functionality.
- Results showed that after surgery, patients experienced significant improvements in both physical performance during squats and self-reported health measures at 6 months and 1 year post-operation.
Treatment of Intra-Articular Lesions After Posterior Inferior Tibiofibular Ligament Injury: A Case Series of Elite Rugby Players.
Orthop J Sports Med
September 2023
Department of Orthopaedic Surgery, School of Medicine, Nara Medical University, Kashihara, Japan.
Article Synopsis
- Surgical treatment is uncommon for mild tibiofibular ligament injuries without dislocation, but this study focuses on outcomes for patients with specific intra-articular issues following these injuries.
- Eleven elite male rugby players with ongoing ankle pain after high ankle sprains were examined using various imaging techniques, and arthroscopy was performed to address any lesions found.
- Post-surgery, all patients showed significant symptom relief and were able to return to rugby within an average of 11 weeks, with notable improvements in their functional and activity scores.
Hip Arthroscopy in Adolescents Through an Extra-Capsular Approach.
Arthrosc Tech
June 2023
Hip Arthroscopy Mexico, San Pedro Garza Garcia, Nuevo Leon, Mexico.
Article Synopsis
- * A careful periportal capsulotomy is necessary to ensure visibility and instrument access and to protect the femoral head cartilage, especially in the delicate adolescent population, where improper distraction can lead to significant complications.
- * An extracapsular approach with smaller capsulotomies has been developed, reducing the risk of complications and requiring less force for distraction, thereby providing a safer alternative for treating these conditions in young patients.