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Anterior Impingement, Ankle
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Anterolateral gutter syndrome
          • Definitions

            • Mechanical limitation of ankle dorsiflexion due to osseous or soft tissue impediment

          IMAGING

          • General Features

            • Radiographic Findings

              • MR Findings

                • Imaging Recommendations

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Relevant Anatomy

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Zwiers R et al: Arthroscopic Treatment for Anterior Ankle Impingement: A Systematic Review of the Current Literature. Arthroscopy. 31(8):1585-96, 2015
                                    2. Pesquer L et al: US in ankle impingement syndrome. J Ultrasound. 17(2):89-97, 2014
                                    3. Hayeri MR et al: Anterior ankle impingement and talar bony outgrowths: osteophyte or enthesophyte? Paleopathologic and cadaveric study with imaging correlation. AJR Am J Roentgenol. 193(4):W334-8, 2009
                                    4. Linklater J: MR imaging of ankle impingement lesions. Magn Reson Imaging Clin N Am. 17(4):775-800, vii-viii, 2009
                                    5. Sanders TG et al: Impingement syndromes of the ankle. Magn Reson Imaging Clin N Am. 16(1):29-38, v, 2008
                                    6. van den Bekerom MP et al: The distal fascicle of the anterior inferior tibiofibular ligament as a cause of tibiotalar impingement syndrome: a current concepts review. Knee Surg Sports Traumatol Arthrosc. 15(4):465-71, 2007
                                    7. Haller J et al: MR-imaging of anterior tibiotalar impingement syndrome: agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography. Eur J Radiol. 58(3):450-60, 2006
                                    8. Robinson P et al: Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess. AJR Am J Roentgenol. 178(3):601-4, 2002
                                    9. Robinson P et al: Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management. Radiographics. 22(6):1457-69; discussion 1470-1, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Synonyms

                                              • Anterolateral gutter syndrome
                                            • Definitions

                                              • Mechanical limitation of ankle dorsiflexion due to osseous or soft tissue impediment

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    • Ultrasonographic Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            • Relevant Anatomy

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Zwiers R et al: Arthroscopic Treatment for Anterior Ankle Impingement: A Systematic Review of the Current Literature. Arthroscopy. 31(8):1585-96, 2015
                                                                      2. Pesquer L et al: US in ankle impingement syndrome. J Ultrasound. 17(2):89-97, 2014
                                                                      3. Hayeri MR et al: Anterior ankle impingement and talar bony outgrowths: osteophyte or enthesophyte? Paleopathologic and cadaveric study with imaging correlation. AJR Am J Roentgenol. 193(4):W334-8, 2009
                                                                      4. Linklater J: MR imaging of ankle impingement lesions. Magn Reson Imaging Clin N Am. 17(4):775-800, vii-viii, 2009
                                                                      5. Sanders TG et al: Impingement syndromes of the ankle. Magn Reson Imaging Clin N Am. 16(1):29-38, v, 2008
                                                                      6. van den Bekerom MP et al: The distal fascicle of the anterior inferior tibiofibular ligament as a cause of tibiotalar impingement syndrome: a current concepts review. Knee Surg Sports Traumatol Arthrosc. 15(4):465-71, 2007
                                                                      7. Haller J et al: MR-imaging of anterior tibiotalar impingement syndrome: agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography. Eur J Radiol. 58(3):450-60, 2006
                                                                      8. Robinson P et al: Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess. AJR Am J Roentgenol. 178(3):601-4, 2002
                                                                      9. Robinson P et al: Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management. Radiographics. 22(6):1457-69; discussion 1470-1, 2002