Ankle Pathology
A 24-year-old professional ballet dancer presents with posterior ankle pain that worsens during pointe work (full plantarflexion). She has no history of significant trauma but reports gradually worsening symptoms over 6 months. Examination reveals tenderness behind the ankle with pain on forced plantarflexion. Lateral radiograph shows an os trigonum. MRI confirms inflammation around the accessory ossicle with associated flexor hallucis longus (FHL) tenosynovitis. The surgeon discusses the spectrum of ankle impingement syndromes and management options. Regarding ankle impingement syndromes and their management:
Mark each as TRUE or FALSE
ANTERIOR impingement ("footballer's ankle") is caused by repetitive dorsiflexion with anterior tibia...
POSTERIOR impingement ("dancer's syndrome") is pain in PLANTARFLEXION; causes include OS TRIGONUM (1...
Anterior impingement causes pain in plantarflexion; posterior impingement causes pain in dorsiflexio...
Arthroscopic management has 85-95% success rate for both anterior and posterior impingement; ANTERIO...
Conservative treatment includes activity modification, physiotherapy, anti-inflammatories, and corti...
Answer the questions to see explanations
Click T (True) or F (False) for each option