Anandkumar Sudarshan
a Registered Physiotherapist , CBI Health Centre, Chilliwack , British Columbia , Canada.
Physiother Theory Pract. 2018 Jul;34(7):569-577. doi: 10.1080/09593985.2017.1422822. Epub 2018 Jan 3.
This case report describes a 50-year-old male who presented with right anterolateral ankle pain managed unsuccessfully with rest, medications, bracing, injection, physical therapy, and massage therapy. Clinical diagnosis of anterolateral ankle impingement was based on concordant symptom reproduction with palpatory tenderness and a positive lateral synovial impingement test. This case report is a potential first time description of the successful management of anterolateral ankle impingement utilizing a novel Mulligan's mobilization with movement procedure (consisting of internal rotation of the distal tibia) and taping with immediate improvements noted in pain, range of motion, and function. The patient was seen twice a week and was discharged after four treatment sessions. A follow-up after 4 months revealed that the patient was pain free and fully functional.
本病例报告描述了一名50岁男性，其右踝前外侧疼痛，通过休息、药物治疗、支具固定、注射、物理治疗和按摩治疗均未成功缓解。踝前外侧撞击的临床诊断基于症状再现与触压痛一致以及外侧滑膜撞击试验阳性。本病例报告可能首次描述了采用一种新颖的穆利根动态松动术（包括胫骨远端内旋）和贴扎成功治疗踝前外侧撞击的情况，疼痛、活动范围和功能均立即得到改善。患者每周就诊两次，经过四次治疗后出院。4个月后的随访显示患者无痛且功能完全恢复。
