Kushare Indranil V, Allahabadi Sachin, McKay Scott
Texas Children's Hospital, Department of Orthopedic Surgery, Houston, TX, USA.
University of California at San Francisco, Department of Orthopedic Surgery, San Francisco, CA, USA.
J Clin Orthop Trauma. 2020 May-Jun;11(3):479-481. doi: 10.1016/j.jcot.2020.03.008. Epub 2020 Mar 18.
Posterior ankle impingement is a cause of posterior ankle pain common in those who perform frequent plantarflexion activities. Three young patients presented with posterior ankle pain which was initially attributed to peroneal tendon subluxation. However, detailed physical exam and imaging confirmed the diagnosis of posterior ankle impingement as the actual cause of pain. The peroneal tendon subluxation was not causal but an unrelated co-incidental finding. After failed prolonged conservative management (rest, immobilization and physical therapy), the patients underwent posterior ankle arthroscopic debridement for the impingement resulting in return to prior sporting activity without limitation and no recurrence of pain at 19 months follow-up. Posterior ankle impingement diagnosis could be masked by co-incidental asymptomatic peroneal tendon subluxation in pediatric patients.
后踝撞击是后踝疼痛的一个原因，常见于频繁进行跖屈活动的人群。三名年轻患者出现后踝疼痛，最初被归因于腓骨肌腱半脱位。然而，详细的体格检查和影像学检查证实后踝撞击是疼痛的实际原因。腓骨肌腱半脱位并非病因，而是一个无关的偶然发现。在长期保守治疗（休息、固定和物理治疗）失败后，患者接受了后踝关节镜下清创术治疗撞击，术后恢复到之前的运动活动，没有限制，在19个月的随访中疼痛未复发。小儿患者中偶然出现的无症状腓骨肌腱半脱位可能会掩盖后踝撞击的诊断。
