Posterior ankle pain caused by painful limitation of plantar flexion due to osseous &/or soft tissue pathology
Os trigonum = unfused ossification center at lateral tubercle of posterior talar process
Stieda process = elongated lateral tubercle
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DIFFERENTIAL DIAGNOSIS
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General Features
Gross Pathologic & Surgical Features
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CLINICAL ISSUES
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Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
LiMarzi GM et al: Imaging manifestations of ankle impingement syndromes. Radiol Clin North Am. 56(6):893-916, 2018
Hayashi D et al: Posterior ankle impingement in athletes: pathogenesis, imaging features and differential diagnoses. Eur J Radiol. 84(11):2231-41, 2015
Giannini S et al: Posterior ankle impingement. Foot Ankle Int. 34(3):459-65, 2013
Calder JD et al: Return to training and playing after posterior ankle arthroscopy for posterior impingement in elite professional soccer. Am J Sports Med. 38(1):120-4, 2010
Hopper MA et al: Ankle impingement syndromes. Radiol Clin North Am. 46(6):957-71, v, 2008
Lee JC et al: Posterior impingement syndromes of the ankle. Semin Musculoskelet Radiol. 12(2):154-69, 2008
Sanders TG et al: Impingement syndromes of the ankle. Magn Reson Imaging Clin N Am. 16(1):29-38, v, 2008
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
Fiorella D et al: The MR imaging features of the posterior intermalleolar ligament in patients with posterior impingement syndrome of the ankle. Skeletal Radiol. 28(10):573-6, 1999
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TERMINOLOGY
Definitions
Posterior ankle pain caused by painful limitation of plantar flexion due to osseous &/or soft tissue pathology
Os trigonum = unfused ossification center at lateral tubercle of posterior talar process
Stieda process = elongated lateral tubercle
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Relevant Anatomy
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
LiMarzi GM et al: Imaging manifestations of ankle impingement syndromes. Radiol Clin North Am. 56(6):893-916, 2018
Hayashi D et al: Posterior ankle impingement in athletes: pathogenesis, imaging features and differential diagnoses. Eur J Radiol. 84(11):2231-41, 2015
Giannini S et al: Posterior ankle impingement. Foot Ankle Int. 34(3):459-65, 2013
Calder JD et al: Return to training and playing after posterior ankle arthroscopy for posterior impingement in elite professional soccer. Am J Sports Med. 38(1):120-4, 2010
Hopper MA et al: Ankle impingement syndromes. Radiol Clin North Am. 46(6):957-71, v, 2008
Lee JC et al: Posterior impingement syndromes of the ankle. Semin Musculoskelet Radiol. 12(2):154-69, 2008
Sanders TG et al: Impingement syndromes of the ankle. Magn Reson Imaging Clin N Am. 16(1):29-38, v, 2008
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
Fiorella D et al: The MR imaging features of the posterior intermalleolar ligament in patients with posterior impingement syndrome of the ankle. Skeletal Radiol. 28(10):573-6, 1999
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