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Pediatric Sports Medicine

Anterior Ankle Bony Impingement

Our Pediatric Sports Medicine team put together these videos to provide information for you.

Drew Warnick, MD

What is anterior ankle bony impingement?

The ankle is a hinge joint. The tibia and fibula form the roof of the joint, and the talus forms the dome. Anterior ankle bony impingement occurs when the bones of the ankle are abnormally shaped. Because they do not fit together perfectly, the bones can hit or impinge against each other during movement and cause damage to the ankle. Over time, this can result in damage to the ankle joint.

How do I know if I have anterior ankle bony impingement?

People with anterior ankle impingement usually have pain in the anterior ankle. Stabbing or achy pain usually occurs with ankle dorsiflexion. Because athletically active people may work the ankle joint more vigorously, they may begin to experience pain earlier than those who are less active.

How is anterior ankle bony impingement diagnosed?

At AllSports Medicine, we will examine your ankle with specific tests to help diagnose anterior ankle bony impingement. X-rays and additional imaging may be needed to help identify this condition.

What are my treatment options?

Anterior ankle bony impingement can sometimes be initially treated with anti-inflammatory medication and avoiding activities that cause symptoms. If symptoms are not relieved with conservative measures, arthroscopic surgery may be needed. Using cutting edge techniques, we can place a small camera into the ankle joint. The abnormally shaped bone can be recontoured and reshaped to prevent impingement. Correcting the impingement lesion can reduce symptoms and prevent future damage to the ankle.

What happens after surgery?

Return to activity can be expected a few months after surgery.

Will I need physical therapy?

Our goal at All Sports Medicine is to get our patient back to participating in their favorite activities, including sports. Therefore, within physical therapy we also assess and work to correct biomechanics; proper techniques for lifting, squatting, running, throwing and so on. Depending on the patient’s prior activity level and needs for returning to sport, we also progress their exercises and give them the knowledge to continue strengthening after discharge from physical therapy by providing a thorough home exercise program, customized to each patient. Physical therapy at Johns Hopkins All Children’s is provided in an atmosphere developed for teen athletes with a one to one ratio for the highest quality of care needed for maximum outcomes and return to play. AllSports Medicine physical therapy will get you back in the game!