Ankle Impingement: A Critical Analysis Review

JBJS Rev. 2020 May;8(5):e0215. doi: 10.2106/JBJS.RVW.19.00215.


Ankle impingement presents with painful and limited range of motion with dorsiflexion or plantar flexion, originating from pathological contact between bone and/or soft-tissue structures. Diagnosis is made primarily through clinical examination with adjunct radiographs and magnetic resonance imaging, with care taken to rule out a plethora of similarly presenting pathologies. Arthroscopic surgical approaches bring satisfactory short, mid, and long-term outcomes, with the current body of evidence dominated by Level-IV studies. Minimally invasive techniques offer improvements in time to return to play and complication rates relative to open approaches. Recent advances in the arthroscopic management of ankle impingement include long-term outcome studies, novel prognostic classification systems, and strategies for concomitant lesion management.

Publication types

  • Review

MeSH terms

  • Ankle Joint / diagnostic imaging
  • Ankle Joint / physiopathology
  • Ankle Joint / surgery*
  • Arthroscopy*
  • Humans
  • Joint Diseases / diagnosis
  • Joint Diseases / etiology*
  • Joint Diseases / physiopathology
  • Joint Diseases / surgery
  • Treatment Outcome