Posterior Ankle Impingement and Flexor Hallucis Longus Pathology

Clin Sports Med. 2020 Oct;39(4):911-930. doi: 10.1016/j.csm.2020.06.001. Epub 2020 Aug 13.

Abstract

Posterior ankle pain is a common complaint, and the potential causative pathologic processes are diverse. The constellation of these numerous etiologies has been collectively referred to as posterior ankle impingement syndrome. The pain associated with posterior ankle impingement is caused by bony or soft tissue impingement of the posterior ankle while in terminal plantar flexion. This condition is most frequently encountered in athletes who participate in sports that involve forceful, or repetitive, ankle plantar flexion. This article discusses the associated pathology, diagnosis, conservative treatment, and surgical techniques associated with flexor hallucis longus and posterior ankle impingement syndrome.

Keywords: Dancing injuries; Flexor hallucis longus; Os trigonum; Posterior ankle endoscopy; Posterior ankle impingement.

Publication types

  • Review

MeSH terms

  • Ankle Injuries / diagnosis*
  • Ankle Injuries / etiology
  • Ankle Injuries / physiopathology
  • Ankle Injuries / therapy*
  • Ankle Joint / anatomy & histology
  • Ankle Joint / physiopathology
  • Ankle Joint / surgery
  • Athletic Injuries / diagnosis
  • Athletic Injuries / etiology
  • Athletic Injuries / pathology
  • Athletic Injuries / therapy
  • Hallux / anatomy & histology
  • Hallux / physiopathology
  • Humans
  • Muscle, Skeletal / anatomy & histology
  • Muscle, Skeletal / injuries*
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / physiopathology
  • Musculoskeletal Pain / etiology
  • Musculoskeletal Pain / therapy
  • Orthopedic Procedures / methods*
  • Syndrome
  • Treatment Outcome