{"id":13179,"date":"2022-11-30T17:38:05","date_gmt":"2022-11-30T16:38:05","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=13179"},"modified":"2022-11-30T17:38:05","modified_gmt":"2022-11-30T16:38:05","slug":"anterior-ankle-impingement-diagnosis","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/anterior-ankle-impingement-diagnosis\/","title":{"rendered":"Anterior Ankle Impingement Diagnosis"},"featured_media":13180,"template":"","class_list":["post-13179","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":13180,"background_image_alt_text":"Anterior Ankle Impingement Diagnosis"},"heading":"Anterior Ankle Impingement Diagnosis | Signs & Symptoms","subheading":"Ankle\/Foot Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Anterior Ankle Impingement Diagnosis | Signs & Symptoms<\/h2>\nAnterior Ankle impingement is a condition involving synovial hypertrophy, cartilage proliferation, scar tissue formation, calcification, and or osteophyte formation in the anterolateral gutter. It\u2019s a result of trauma, specifically dorsiflexion trauma, ankle inversion trauma, or repetitive stress. Most patients report a history of these traumas and report chronic anterolateral ankle pain and or limited dorsiflexion.\n\nLiu et al. (1997)<\/a> wondered whether there were any findings from patient history and physical examination that could aid in the non-invasive diagnosis of ankle impingement.\nTheir retrospective analysis of 22 patient cases revealed a sensitivity of 94% and specificity of 75% for 5 out of 6 positive findings. When interpreting these findings, the big confidence intervals and overall study design result in only moderate clinical value.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=ovJBsPMGYrk[\/embed]\n\n<\/div>\nThe six findings you should look out for according to the authors are:\n
    \n \t
  1. Anterolateral ankle joint tenderness<\/li>\n \t
  2. Anterolateral ankle joint swelling probably due to synovitis<\/li>\n \t
  3. Pain with forced dorsiflexion and eversion of the affected ankle, which will narrow the anterolateral gutter<\/li>\n \t
  4. Pain with single-leg squat on the affected ankle<\/li>\n \t
  5. Pain with activities. These have not been described in detail in the study but think of tasks or activities requiring dorsiflexion (e.g. walking down stairs, squatting, and especially sports)<\/li>\n \t
  6. Absence of ankle instability, which you can assess with the anterior drawer test of the ankle<\/a>.<\/li>\n<\/ol>\n[cta]\n\nOrthopedic tests to help your diagnosis of ankle impingement are:\n