Anterior ankle impingement

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

Soccer player.

Patient Data

Age: 20
Gender: Male
X-ray

Lateral ankle radiograph shows osteophytic spur formation at the anterior tibial margin with a subtle corresponding talar spur. There is also subcondral cyst formation in the anterior tibia and adjacent soft tissue swelling. The osteophytic spurs are commonly refers to as "tibotalar spur". Anterior ankle impingement syndrome is the result of chronic repetitive trauma with impingement of the anterior tibia against the talus. The associated changes described is best appreciated on the lateral view. Clinical features of anterior ankle impingement syndrome include painful and limited dorsiflexion and anterior joint line swelling.

1. Robinson P.  Impingement syndromes of the ankle. Eur Radiol. 2007;17(12):3056-65.

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Case information

rID: 18510
Case created: 10th Jul 2012
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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