Ankle impingement can occur after traumatic ankle sprains or even fractures. Typically the capsule and synovial lining of the ankle joint get inflamed and can develop scar tissue in either the anteromedial gutter or anterolateral gutter between the ankle bones. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities.
A sports medicine physician can try to make this diagnosis by physical examination, recreating the patient’s symptoms by palpation of the area of inflammation and impingement. X-rays are often unremarkable, but an MRI or MR arthrogram may demonstrate the impingement. Treatment often involves arthroscopically debriding the area of impingement. Return to sports is usually successful in athletes with this problem.
If you have specific questions about ankle impingement, please Ask Dr. Geier directly.Other Leg, Ankle & Foot Injuries
Achilles Tendon Ruptures
Calcaneus Stress Fractures
Chronic Exertional Compartment Syndrome
Fifth Metatarsal Fracture (Jones fracture)
Flexor Hallucis Longus (FHL) Tendinitis
Lateral Ankle Instability
Metatarsal Stress Fracture
Navicular Stress Fractures
Osteochondral Lesions of the Talus
Peroneal Tendon Subluxation
Shin Splints (Medial Tibial Stress Syndrome)
Syndesmosis Injuries (“High Ankle Sprains”)
Tibial Stress Fractures