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ArthroscopicTreatment of Ankle Impingement Syndrome

by PPMA Board Member Michael Troiano DPM, FACFAS, and Benjamin Marder, DPM

The etiology of anterior ankle impingement syndrome remains a debated topic within the literature as I will demonstrate here. However, when combining clinical evaluation and dedicated radiologic projections, a physicians’ ability to diagnose this troublesome pathology no longer becomes elusive. Numerous authors have reported excellent results in terms of patient satisfaction, functional scores, and improved ankle range of motion with arthroscopic debridement. Yet prognostic classification systems dedicated to size and location of osseous or soft-tissue lesion are still lacking within the literature. Nonetheless, complication rates following ankle arthroscopy for anterior ankle impingement are low, and these patients warrant surgical intervention when conservative measures fail.

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