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Foot & Ankle
intermediate
X-Type

Posterior Ankle Impingement Syndrome

Ankle Pathology

A 22-year-old professional ballet dancer presents with 6 months of posterior ankle pain exacerbated by going en pointe (maximal plantarflexion). She reports no specific injury but notes the pain has progressively worsened. On examination, there is tenderness posterior to the ankle and pain with forced passive plantarflexion. Plantar flexion strength is normal. Regarding posterior ankle impingement syndrome:

Mark each as TRUE or FALSE

A

Posterior ankle impingement is caused by compression of structures between the tibia and calcaneus d...

B

The os trigonum is a secondary ossification center of the lateral tubercle of the posterior talus th...

C

Posterior ankle impingement is exclusively a bony problem; soft tissue impingement does not occur; t...

D

The FHL tendon runs in a fibro-osseous tunnel between the medial and lateral tubercles of the poster...

E

Initial treatment includes activity modification, physiotherapy, and image-guided corticosteroid inj...

Answer the questions to see explanations

Click T (True) or F (False) for each option