Posterior ankle impingement syndrome in football players: Case series of 26 elite athletes
Objective: To describe a clinical treatment algorithm for posterior ankle impingement (PAI) syndrome inprofessional football players.Material and methods: A case series of 26 elite professional football players diagnosed and treated forposterior ankle impingement syndrome were included for the study. All of the athletes received conservative treatment with physical therapy modalities initially. If theŞrst line medical treatment andrehabilitation was ineffective to alleviate the symptoms, ultrasound-guided corticosteroid injection wasproposed and thereafter the patients underwent posterior ankle arthroscopy if the complaints are stillunresolved. The pain scores (AOFAS, VAS), and time to return to play were the main outcome measures.Results: The complaints of 18 (69.2%) players were subsided with non-surgical treatment whereas threeof acute cases andŞve of the chronic cases did not respond to medical treatment and arthroscopicsurgery was performed for eight athletes. Eighteen players returned to training for a mean time of 36.3days (24e42 days) after conservative treatment. The patients who underwent arthroscopic surgeryreturned to training for a mean time of 49.8 days (42e56 days) after the surgery. All athletes returned totheir previous level of competition after treatment without any complications or recurrence in a meanfollow-up 36.5 months (19e77 months).Conclusion: Non-surgical treatment modalities were effective in 2/3 of posterior ankle impingementsyndrome in elite football players. On the other hand, posterior ankle arthroscopy is safe and effectivetreatment option for posterior ankle impingement syndrome if the conservative treatment fails.Level of evidence: Level IV, Therapeutic study
___
1. Hess GW. Ankle impingement syndromes: a review of etiology and related implications. Foot Ankle Spec. 2011;4(5):290e297.2. Russell JA, Kruse DW, Koutedakis Y, McEwan IM, Wyon MA. Pathoanatomy of posterior ankle impingement in ballet dancers. Clin Anat. 2010;23(6):613e621.
3. Roche AJ, Calder JD, Lloyd Williams R. Posterior ankle impingement in dancers and athletes. Foot Ankle Clin. 2013;18(2):301e318.
4. Zwiers R, Wiegerinck JI, Murawski CD, Smyth NA, Kennedy JG, van Dijk CN. Surgical treatment for posterior ankle impingement. Arthroscopy. 2013;29(7): 1263e1270.
5. Smyth NA, Murawski CD, Levine DS, Kennedy JG. Hindfoot arthroscopic surgery for posterior ankle impingement: a systematic surgical approach and case series. Am J Sports Med. 2013;41(8):1869e1876.
6. Giannini S, Buda R, Mosca M, Parma A, Di Caprio F. Posterior ankle impingement. Foot Ankle Int. 2013;34(3):459e465.
7. Ribbans WJ, Ribbans HA, Cruickshank JA, Wood EV. The management of posterior ankle impingement syndrome in sport: a review. Foot Ankle Surg. 2015;21(1):1e10.
8. Lopez Valerio V, Seijas R, Alvarez P, et al. Endoscopic repair of posterior ankle impingement syndrome due to os trigonum in soccer players. Foot Ankle Int. 2015;36(1):70e74.
9. Maquirriain J. Posterior ankle impingement syndrome. J Am Acad Orthop Surg. 2005;13(6):365e371.
10. Russo A, Zappia M, Reginelli A, et al. Ankle impingement: a review of multimodality imaging approach. Musculoskelet Surg. 2013;97(Suppl. 2):S161eS168.
11. Bureau NJ, Cardinal E, Hobden R, Aubin B. Posterior ankle impingement syndrome: MR imaging findings in seven patients. Radiology. 2000;215(2): 497e503.
12. Peace KA, Hillier JC, Hulme A, Healy JC. MRI features of posterior ankle impingement syndrome in ballet dancers: a review of 25 cases. Clin Radiol. 2004;59(11):1025e1033.
13. Albisetti W, Ometti M, Pascale V, De Bartolomeo O. Clinical evaluation and treatment of posterior impingement in dancers. Am J Phys Med Rehabil. 2009;88:349e354.
14. Speed CA. Injection therapies for soft-tissue disorders. Rest Pract Res Clin Rheumatol. 2003;17:167e181.
15. Marumoto JM, Ferkel RD. Arthroscopic excision of the os trigonum: a new technique with preliminary clinical results. Foot Ankle Int. 1997;18(12): 777e784.
16. Mouhsine E, Crevoisier X, Leyvraz PF, Akiki A, Dutoit M, Garofalo R. Posttraumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement. Knee Surg Sports Traumatol Arthrosc. 2004;12(3): 250e253.
17. Robinson P, Bollen SR. Posterior ankle impingement in professional soccer players: effectiveness of sonographically guided therapy. Am J Roentgenol. 2006;187(1):W53eW58.
18. Lee KB, Kim KH, Lee JJ. Posterior arthroscopic excision of bilateral posterior bony impingement syndrome of the ankle: a case report. Knee Surg Sports Traumatol Arthrosc. 2008;16(4):396e399.
19. Wredmark T, Carlstedt CA, Bauer H, Saartok T. Os trigonum syndrome: a clinical entity in ballet dancers. Foot Ankle. 1991;11(6):404e406.
20. van Dijk CN. Anterior and posterior ankle impingement. Foot Ankle Clin. 2006;11(3):663e683.
21. Ogut T, Ayhan E, Irgit K, Sarikaya AI. Endoscopic treatment of posterior ankle pain. Knee Surg Sports Traumatol Arthrosc. 2011;19(8):1355e1361.
22. Calder JD, Sexton SA, Pearce CJ. Return to training and playing after posterior ankle arthroscopy for posterior impingement in elite professional soccer. Am J Sports Med. 2010;38(1):120e124.
23. Scholten PE, Sierevelt IN, van Dijk CN. Hindfoot endoscopy for posterior ankle impingement. J Bone Jt Surg Am. 2008;90(12):2665e2672.
24. Noguchi H, Ishii Y, Takeda M, Hasegawa A, Monden S, Takagishi K. Arthroscopic excision of posterior ankle bony impingement for early return to the field: short-term results. Foot Ankle Int. 2010;31(5):398e403.
25. Jourdel F, Tourne Y, Saragaglia D. Posterior ankle impingement syndrome: a retrospective study in 21 cases treated surgically [Article in French] Rev Chir Orthop Reparatrice Appar Mot. 2005;91(3):239e247.
26. Willits K, Sonneveld H, Amendola A, Giffin JR, Griffin S, Fowler PJ. Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy. 2008;24(2):196e202.
27. Vila J, Vega J, Mellado M, Ramazzini R, Golan o P. Hindfoot endoscopy for the treatment of posterior ankle impingement syndrome: a safe and reproducible technique. Foot Ankle Surg. 2014;20(3):174e179. 65
- ISSN: 1017-995X
- Başlangıç: 2015
- Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
Sayıdaki Diğer Makaleler
Modular cementless prosthetic reconstruction after resection of lower extremity malignant tumor
Şenol BEKMEZ, Mehmet AYVAZ, Altug YUCEKUL, AHMET MAZHAR TOKGÖZOĞLU
Giacomo PLACELLA, Matteo BARTOLİ, Marco PERUZZİ, Andrea SPEZİALİ, Valerio PACE, Giuliano CERULLİ
Onder KALENDERER, Ali TURGUT, Mert KUMBARACI, Gökhan ILYAS, Tayfun BACAKSIZ, Levent KARAPINARZ
Revision surgeries following artiŞcial disc replacement of cervical spine
Jong-Beom PARK, Han CHANG, Jin S. YEOM, Kyung-Soo SUK, Dong-Ho LEE, Jae Chul LEE
Barak HAVİV, Shlomo BRONAK, Yona KOSASHVİLİ, Rafael THEİN
Investigation of candidate genes for osteoarthritis based on gene expression profiles
Shuanghai DONG, Tian XİA, Lei WANG, Qinghua ZHAO, Jiwei TİAN
A rare case of chondroblastoma of the acromion
Murat ARIKAN, Güray TOĞRAL, AHMET YILDIRIM, Çiğdem IRKKAN
SELVİN BALKİ, HANIM EDA GÖKTAŞ, Zekeriya ÖZTEMUR
Ali TURGUT, Mert KUMBARACI, Önder KALENDERER, Gokhan ILYAS, Tayfun BACAKSIZ, Levent KARAPINARZ
Solitary osteochondroma arising in lumbar spinous process: Case report