Saturday, August 10, 2024

Anterior ankle impingement (AAI)

Anterior ankle impingement (AAI) occurs when soft tissues (ligaments, tendons, or bone spurs) in the front of the ankle joint become pinched or compressed, causing pain and limited mobility.

Causes:

1. Overuse or repetitive activities (e.g., running, dancing)
2. Ankle sprains or trauma
3. Abnormal ankle biomechanics
4. Bone spurs or osteophytes
5. Inflammatory conditions (e.g., synovitis)

Symptoms:

1. Anterior ankle pain
2. Swelling and redness
3. Limited dorsiflexion (upward movement)
4. Pain when pushing off toes
5. Clicking or snapping sensations

Diagnosis:

1. Physical examination
2. Imaging tests (X-rays, MRI, CT scans)
3. Ankle arthroscopy

Treatment:

1. Conservative:
    - Rest, ice, compression, elevation (RICE)
    - Physical therapy (stretching, strengthening)
    - Pain management
    - Orthotics and bracing
2. Surgical:
    - Arthroscopic debridement
    - Bone spur removal
    - Soft tissue release

Recovery:

1. Conservative: 6-12 weeks
2. Surgical: 3-6 months

Complications:

1. Chronic pain
2. Limited mobility
3. Arthritis
4. Recurring impingement

Prevention:

1. Proper warm-up and cool-down exercises
2. Ankle strengthening and stretching
3. Gradual increase in activity intensity
4. Avoiding high-impact activities

If you're experiencing anterior ankle impingement symptoms, consult an orthopedic specialist or sports medicine professional for proper evaluation and treatment.

Would you like more information or have specific questions?

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