Roche Andrew J, Calder James D F, Lloyd Williams R
Chelsea and Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London SW10 9NH, UK.
Foot Ankle Clin. 2013 Jun;18(2):301-18. doi: 10.1016/j.fcl.2013.02.008.
The diagnosis of posterior ankle impingement requires an accurate history and specific examination. Computed tomography is a useful investigation to diagnose bony impingement, especially where plain radiography and/or magnetic resonance imaging are sometimes inconclusive. Accurate ultrasound-guided steroid/anesthetic injections are useful interventions to locate the symptomatic lesions and reduce symptoms and occasionally prove curative. If surgical debridement or excision is deemed necessary, arthroscopic surgery via a posterior approach is recommended to excise impingement lesions with a quicker return to sport expected and minimal complications. Open surgical excision, however, remains a viable treatment option.
后踝撞击症的诊断需要准确的病史和特定的检查。计算机断层扫描是诊断骨撞击的有用检查方法，尤其是在X线平片和/或磁共振成像有时无法得出结论的情况下。精确的超声引导下类固醇/麻醉剂注射是定位有症状病变、减轻症状且偶尔可治愈的有用干预措施。如果认为有必要进行手术清创或切除，建议采用后入路关节镜手术切除撞击病变，有望更快恢复运动且并发症最少。然而，开放性手术切除仍是一种可行的治疗选择。
