Anterior Ankle Impingement Syndrome

What is Anterior Ankle Impingement Syndrome?

Anterior ankle impingement can occur when soft tissue forms in the front of the ankle impeding ankle joint motion. These conditions are common in athletes after repetitive or ankle sprain trauma. 

Symptoms

The symptoms of anterior ankle impingement are pain in the front of your ankle, usually worse with activity. There may be associated swelling and stiffness.  Usually symptoms are controlled with normal daily activities.

Diagnosis

X-rays will be taken initially, structural problems need to be ruled out. Soft tissue anterior ankle impingement is largely diagnosed based upon clinical exam. Diagnostic injections are most helpful to confirm the diagnosis. MRI exams are generally not always helpful with this diagnosis as the condition can be easily missed. 

Non-Surgical Treatment

Steroid injections in the ankle can be helpful at reducing inflammation of the soft tissue. Physical therapy can also be helpful.

Surgical Treatment

Arthroscopy employed by the Ankle & Foot Clinic Northwest after conservative therapies have failed, can be used for the treatment of joint adhesions, and soft tissue build-up, which, as a result of injury, can clog the joint. 

Typically, patients are non-weightbearing for 1-2 weeks to permit the small incisions to fully heal, slowly increasing activities as tolerated for the next 4-6 weeks, until a return to full activities can be accomplished. 


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