{"id":1084,"date":"2021-03-05T16:55:19","date_gmt":"2021-03-05T15:55:19","guid":{"rendered":"http:\/\/cdp.net\/?page_id=1084"},"modified":"2024-04-01T17:17:50","modified_gmt":"2024-04-01T15:17:50","slug":"posterior-ankle-impingement","status":"publish","type":"page","link":"https:\/\/chirurgie-du-pied.net\/en\/la-cheville-pathologies-et-interventions\/posterior-ankle-impingement\/","title":{"rendered":"Posterior ankle impingement"},"content":{"rendered":"<div class=\"shadow_img_frame shadow_banner_small\"><div class=\"img-preload lightbox-img\"><a href=\"https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2015\/01\/entorses-cheville-chirurgien-orthopediste-bordeaux1.jpg\" class=\"attachment-fadeIn\" data-gal=\"prettyPhoto[]\" title=\"douleur de cheville et syndrome du carrefour post\u00e9rieur\"><div class=\"lightbox-zoom zoom-banner-side-nav-sidebar\" style=\"position:absolute; display: none;\">&nbsp;<\/div><img src='https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2015\/01\/\/entorses-cheville-chirurgien-orthopediste-bordeaux1-493x201.jpg' alt='douleur de cheville et syndrome du carrefour post\u00e9rieur' class=\"attachment-fadeIn\" \/><\/a><\/div><\/div><h1 style=\"text-align: left;\">Posterior ankle impingement<\/h1>\n<p>&nbsp;<\/p>\n<h2>Causes and mechanism of injury<\/h2>\n<p align=\"justify\">Posterior ankle impingement refers to the compression of the tissue and bones in the back of the ankle joint when the foot is <span class=\"tooltipck\" id=\"tooltipck61120\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">flexed<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\"><img decoding=\"async\" src=\"https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2021\/03\/bulle-flexion-cheville.jpg\" alt=\"\" \/><\/span><\/span><\/span>. issue can become pinched between the tibia and the <span class=\"tooltipck\" id=\"tooltipck61150\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">calcaneus<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">Heel bone.<\/span><\/span><\/span> which causes pain. Posterior ankle impingement is also referred to as \u201cdancer&#8217;s heel\u201d.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1105\" src=\"https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2021\/03\/anatomie-cheville-profil.jpg\" alt=\"\" width=\"304\" height=\"325\" srcset=\"https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2021\/03\/anatomie-cheville-profil.jpg 400w, https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2021\/03\/anatomie-cheville-profil-281x300.jpg 281w\" sizes=\"(max-width: 304px) 100vw, 304px\" \/><br \/>\n<video autoplay=\"autoplay\" loop=\"loop\" width=\"304\" height=\"304\"><source src=\"https:\/\/chirurgie-du-pied.net\/wp-content\/uploads\/Cheville-short.mp4\" \/><source src=\"https:\/\/chirurgie-du-pied.net\/wp-content\/uploads\/Cheville-short.webm\" \/><\/video><\/p>\n<p align=\"justify\">Two mechanisms are known:<\/p>\n<ul>\n<li>\n<p align=\"justify\">Posterior ankle impingement can occur as a result of a traumatic event such as an <a href=\"https:\/\/chirurgie-du-pied.net\/en\/la-cheville-pathologies-et-interventions\/ankle-sprain\/\"><b><span style=\"color: #3366ff;\">ankle sprain<\/span><\/b><\/a>. In this scenario, the ligament does not heal properly. The scar may be too large and bulge into the joint and\/or part of the joint capsule may remain inflamed and painful. In other cases, a bone spur or bone fragment can block the space just behind the ankle bones and cause problems.<\/p>\n<\/li>\n<li>\n<p align=\"justify\">Repeated microtrauma (e.g. types of dance that involve repeatedly being on the tips of the toes, kicking the ball when playing football, jobs that involve repeatedly pressing down on a pedal with the tips of the toes, etc.) can also cause posterior ankle impingement.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div class=\"hr_shadow\">&nbsp;<\/div><h2>Symptoms<\/h2>\n<p align=\"justify\">Posterior ankle impingement manifests as cracking and pain when the ankle is in <span class=\"tooltipck\" id=\"tooltipck61153\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">plantar flexion<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\"><img decoding=\"async\" src=\"https:\/\/chirurgie-du-pied.net\/en\/wp-content\/uploads\/sites\/2\/2021\/03\/bulle-flexion-cheville.jpg\" alt=\"\" \/><\/span><\/span><\/span>. The pain is sometimes clearly felt at the back of the ankle but most often the pain is too deep for the precise location to be determined.<\/p>\n<p>The pain can arise when playing sports, dancing, driving or even simply going down the stairs. It is usually felt instantly when the ankle is plantarflexed but can occasionally have a delayed onset.<\/p>\n<p>One or a combination of various imaging techniques can be used to diagnose posterior ankle impingement:<\/p>\n<ul>\n<li>Non-weight-bearing X-rays<\/li>\n<li>Magnetic resonance imaging (MRI)<\/li>\n<li>CT scan without contrast and\/or CT arthrogram<\/li>\n<li>Bone scan (also known as bone scintigraphy)<\/li>\n<li>\n<p align=\"justify\">If the diagnosis cannot be confirmed, a steroid injection may be administered into the back of the ankle to see if this helps ease the pain. Relieving the pain helps confirm the diagnosis and can sometimes treat the cause.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div class=\"hr_shadow\">&nbsp;<\/div><h2>Treatment of posterior ankle impingement<\/h2>\n<h3><\/h3>\n<h3>First-line treatment<\/h3>\n<p align=\"justify\">The recommend first-line treatment for this condition consists of various non-surgical measures:<\/p>\n<ul>\n<li>Oral pain medication and anti-inflammatories<\/li>\n<li><span class=\"tooltipck\" id=\"tooltipck61157\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">Cryotherapy<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">Cold therapy.<\/span><\/span><\/span><\/li>\n<li><span class=\"tooltipck\" id=\"tooltipck61160\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">Strapping<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">The aim is to limit the plantar flexion of the foot.<\/span><\/span><\/span><\/li>\n<li>Immobilisation, or even <span class=\"tooltipck\" id=\"tooltipck61162\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">non-weight-bearing<\/span><span class=\"tooltipck-tip\" style=\"width:300px;\"><span class=\"tooltipck-inner\">Avoiding putting weight on the foot by using crutches.<\/span><\/span><\/span> if the pain is severe<\/li>\n<li>Massage and rehabilitation through physiotherapy<\/li>\n<li>X-ray- or ultrasound-guided <span class=\"tooltipck\" id=\"tooltipck61165\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">steroid injection<\/span><span class=\"tooltipck-tip\" style=\"width:300px;\"><span class=\"tooltipck-inner\">A procedure that is both diagnostic and therapeutic &#8211; see previous section.<\/span><\/span><\/span><\/li>\n<\/ul>\n<p align=\"justify\">If these measures fail or only partly work, surgery may be considered as second-line treatment.<\/p>\n<h3>Second-line treatment<\/h3>\n<p align=\"justify\">Posterior ankle impingement surgery involves treating the parts of the ankle joint that are causing the pain and is performed under <span class=\"tooltipck\" id=\"tooltipck61168\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">loco-regional<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">Numbs only the limb being operated on.<\/span><\/span><\/span>, general or <span class=\"tooltipck\" id=\"tooltipck61170\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">spinal<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">Numbs the body from the waist down.<\/span><\/span><\/span> anaesthetic. The type of anaesthetic that will be used in your procedure will be decided with the anaesthetist during your preoperative assessment.<\/p>\n<p align=\"justify\">This surgery is usually performed with the help of an arthroscope. Two small incisions are made on either side of the Achilles tendon. A tiny camera is then inserted into the ankle through the first incision and surgical tools used to carry out the various therapeutic procedures are inserted through the second. Once the posterior ankle impingement has been treated, the incisions are closed and a dressing is applied.<\/p>\n<p>&nbsp;<\/p>\n<div class=\"hr_shadow\">&nbsp;<\/div><h2>FAQs<\/h2>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">What does this operation aim to achieve?<\/span><\/strong> The aim of this operation is to reduce or even eradicate the pain by removing the source of the impingement.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">Can the operation be done as an outpatient procedure?<\/span><\/strong> Yes, provided that you have friends or family who can help you.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">Is the operation painful?<\/span><\/strong> The majority of patients experience a moderate level of pain which is able to be managed by the pain medication prescribed.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">Will I be able to walk after the operation?<\/span><\/strong> Yes, but you will have to use crutches for 10 to 15 days.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">Will immobilization be necessary?<\/span><\/strong> No, you will not need a cast or a splint.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">What kind of aftercare is provided?<\/span><\/strong> Your dressings will be tended to every other day by a nurse and physiotherapy sessions will be arranged to aid your rehabilitation.<\/p>\n<p align=\"justify\"><strong><span style=\"color: #3366ff;\">When can I resume my day-to-day activities?<\/span><\/strong> ou will be able to resume your day-to-day activities a few days to a few weeks after your operation. Sports activities may be allowed to be resumed after a few weeks to a few months depending on the <span class=\"tooltipck\" id=\"tooltipck61173\" rel=\"time=300|delayOut=500|offsetx=0|offsety=0\"><span style=\"color: #3366ff;\">sport<\/span><span class=\"tooltipck-tip\" style=\"width:150px;\"><span class=\"tooltipck-inner\">for example, cycling and swimming after three weeks, running after two months.<\/span><\/span><\/span>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Posterior ankle impingement<br \/>\n&nbsp;<br \/>\nCauses and mechanism of injury<br \/>\nPosterior ankle impingement refers to the compression of the tissue and bones in the back of the ankle joint when the foot is flexed. issue can become pinched between the tibia and the calcaneusHeel bone. which causes pain. Posterior ankle impingement is also referred to as \u201cdancer&#8217;s heel\u201d.<\/p>\n<p>\nTwo mechanisms are known:<\/p>\n<p>\nPosterior ankle impingement can occur as a result of a traumatic event such as an &#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":290,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template_rightnav.php","meta":{"footnotes":""},"class_list":["post-1084","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ankle Impingement | Ankle Pain<\/title>\n<meta name=\"description\" content=\"Pain to the rear of the ankle when the foot is angled outward. 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