{"title":"A Pain in the Back of the Ankle! Posterior Ankle Impingement.","authors":"Jeffrey C Leggit","doi":"10.1249/JSR.0000000000001285","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Posterior ankle impingement (PAI) is the result of bony or soft tissue abnormalities in the posterior region of the ankle directly behind the talus. Os trigonum, an accessory bone resulting from failure of complete mineralization, and the Stieda process, an elongated process of the posterolateral talus, are the most common bony abnormalities. The flexor hallucis longus tendon travels between the posterolateral and posteromedial tubercles of the talus in a fibro-osseous sheath. Here it is subject to tenosynovitis. Repetitive or forceful plantarflexion is the main risk factor for PAI. Management of bony abnormalities is generally surgical, while soft tissue abnormalities can be managed with a combination of activity modification, orthoses, and selected injections.</p>","PeriodicalId":10922,"journal":{"name":"Current sports medicine reports","volume":"24 9","pages":"261-263"},"PeriodicalIF":1.4000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current sports medicine reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1249/JSR.0000000000001285","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Posterior ankle impingement (PAI) is the result of bony or soft tissue abnormalities in the posterior region of the ankle directly behind the talus. Os trigonum, an accessory bone resulting from failure of complete mineralization, and the Stieda process, an elongated process of the posterolateral talus, are the most common bony abnormalities. The flexor hallucis longus tendon travels between the posterolateral and posteromedial tubercles of the talus in a fibro-osseous sheath. Here it is subject to tenosynovitis. Repetitive or forceful plantarflexion is the main risk factor for PAI. Management of bony abnormalities is generally surgical, while soft tissue abnormalities can be managed with a combination of activity modification, orthoses, and selected injections.
期刊介绍：
As an official clinical journal of the American College of Sports Medicine (ACSM), Current Sports Medicine Reports is unique in its focus entirely on the clinical aspects of sports medicine. This peer-reviewed journal harnesses the tremendous scientific and clinical resources of ACSM to develop articles reviewing recent and important advances in the field that have clinical relevance. The journal’s goal is to translate the latest research and advances in the field into information physicians can use in caring for their patients.
To accomplish this goal, the journal divides the broad field of sports medicine into 12 sections, each headed by a physician editor with extensive practical experience in that area. The current sections include:
Head, Neck, and Spine -
General Medical Conditions -
Chest and Abdominal Conditions -
Environmental Conditions -
Sideline and Event Management -
Training, Prevention, and Rehabilitation -
Exercise is Medicine-
Nutrition & Ergogenic Aids -
Extremity and Joint Conditions -
Sport-specific Illness and Injury -
Competitive Sports -
Special Populations
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