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运动员的踝关节内侧撞击。

Medial impingement of the ankle in athletes.

机构信息

Michigan International Foot and Ankle Center, Pontiac, Michigan ; Orthopaedic Surgery, Wayne State University, Detroit, Michigan ; Michigan State University, East Lansing, Michigan.

出版信息

Sports Health. 2010 Nov;2(6):495-502. doi: 10.1177/1941738110384570.

DOI:10.1177/1941738110384570
PMID:23015980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3438865/
Abstract

CONTEXT

Medial impingement syndrome of the ankle is common in the athletic population. A marginal osteophyte on the leading edge of the medial talar facet and a corresponding "kissing" osteophyte on the tibia, in front of the medial malleolus, may abut and cause pain and limited dorsiflexion.

BACKGROUND

Palpation of the talar osteophyte and standard imaging-especially, the oblique view of the foot-are useful in making the diagnosis. Surgical removal of the osteophyte may be necessary.

CONCLUSIONS

Ankle impingement is commonly seen in running and jumping sports, especially if the athlete has a subtle cavus foot. It may be associated with ankle instability, osteochondritis dissecans of the talus, and stress fractures of the foot.

摘要

背景

触诊距骨骨赘和标准影像学检查（尤其是足斜位片）有助于诊断。可能需要手术切除骨赘。

结论

距骨撞击常见于跑步和跳跃运动，尤其是运动员存在轻微的马蹄足畸形时。该病可能与踝关节不稳定、距骨剥脱性骨软骨炎和足部应力性骨折有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/69c1307b63c0/10.1177_1941738110384570-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/5010c49d7556/10.1177_1941738110384570-fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/03dd8da691f3/10.1177_1941738110384570-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/5030be4e3816/10.1177_1941738110384570-fig6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/4af507d322ae/10.1177_1941738110384570-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/69c1307b63c0/10.1177_1941738110384570-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/5010c49d7556/10.1177_1941738110384570-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/0c3f9ba3ddeb/10.1177_1941738110384570-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/5202824d2b95/10.1177_1941738110384570-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/3a97dbf1099a/10.1177_1941738110384570-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/03dd8da691f3/10.1177_1941738110384570-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/5030be4e3816/10.1177_1941738110384570-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/b87890aa03b8/10.1177_1941738110384570-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/822d7d819018/10.1177_1941738110384570-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/919986e57028/10.1177_1941738110384570-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/4af507d322ae/10.1177_1941738110384570-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/3438865/69c1307b63c0/10.1177_1941738110384570-fig11.jpg

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本文引用的文献

1
The subtle cavus foot and association with ankle instability and lateral foot overload.轻微的高弓足及其与踝关节不稳定和足外侧负荷过重的关联。
Foot Ankle Clin. 2008 Jun;13(2):315-24, vii. doi: 10.1016/j.fcl.2008.01.003.
2
Foot and ankle injuries in elite female gymnasts.优秀女子体操运动员的足踝损伤
Foot Ankle Int. 2007 Feb;28(2):214-8. doi: 10.3113/FAI.2007.0214.
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Anterior ankle impingement.踝关节前撞击征
Foot Ankle Clin. 2006 Jun;11(2):297-310, vi. doi: 10.1016/j.fcl.2006.02.002.
4
Arthroscopic treatment of anterior ankle impingement syndrome in dancers.舞者踝关节前撞击综合征的关节镜治疗
Foot Ankle Int. 2005 Nov;26(11):908-12. doi: 10.1177/107110070502601102.
5
The subtle cavus foot, "the underpronator".轻微高弓足，即“旋前不足者”。
Foot Ankle Int. 2005 Mar;26(3):256-63. doi: 10.1177/107110070502600313.
6
Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study.前踝撞击综合征的病因：一项描述性解剖学研究。
Foot Ankle Int. 2004 Jun;25(6):382-6. doi: 10.1177/107110070402500603.
7
The anterior ankle impingement syndrome: diagnostic value of oblique radiographs.前踝撞击综合征：斜位X线片的诊断价值
Foot Ankle Int. 2004 Feb;25(2):63-8. doi: 10.1177/107110070402500205.
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Impingement exostoses of the talus and tibia.距骨和胫骨的撞击性外生骨疣
J Bone Joint Surg Am. 1957 Jul;39-A(4):835-52; discussion, 852; passim.
9
Idiopathic cavovarus and lateral ankle instability: recognition and treatment implications relating to ankle arthritis.特发性高弓内翻足与外侧踝关节不稳：与踝关节炎相关的识别及治疗意义
Foot Ankle Int. 2002 Nov;23(11):1031-7. doi: 10.1177/107110070202301111.
10
Oblique radiograph for the detection of bone spurs in anterior ankle impingement.用于检测前踝撞击综合征中骨赘的斜位X线片。
Skeletal Radiol. 2002 Apr;31(4):214-21. doi: 10.1007/s00256-002-0477-0. Epub 2002 Feb 28.