2023 AOSSM Annual Meeting Recordings with CME-Impingement Pathology in the Athlete

Video Transcription

Video Summary

This video discusses three specific topics related to ankle impingement in athletes: anterolateral soft tissue impingement, anterior bony impingement, and posterior ankle impingement. Anterolateral impingement is common in athletes who have a history of ankle sprains and is caused by soft tissue impingement from synovitis, scar tissue, or a hypertrophied AITFL inferior bundle. Initial treatment is conservative, but cortisone injections can be both diagnostic and therapeutic. Arthroscopic debridement with appropriate rehab can result in good to excellent results. Micro-instability can be a complicating factor and should be addressed during surgery. Posterior ankle impingement is common in plantar flexion athletes and can be caused by various factors such as synovitis, FHL tenosynovitis, cartilage issues, elongated posterior process, or fractures. FHL tenosynovitis can be diagnosed with a stress test and should be addressed during surgery. Arthroscopic or endoscopic management is recommended for both types of impingement to lower complication rates and accelerate recovery.

Asset Caption

Steven Martin, MD

Keywords

ankle impingement

anterolateral soft tissue impingement

anterior bony impingement

posterior ankle impingement

micro-instability