Chronic Ankle Pain

David B. Glover DPM, FACFAS

Chronic Ankle Pain

This presentation has no commercial content, promotes no commercial vendor and is not supported financially by any commercial vendor. I receive no financial remuneration from any commercial vendor related to this presentation.

Chronic Ankle Pain

Soft Tissue Capsulitis/ligaments Tenosynovitis Peroneal tendons Posterior tibial tendon Achilles Tendon

Capsulitis

Previous ankle injury Prolonged immobilization

Painful, limited ROM without crepitus

X-rays generally not helpful PT, Injections, Arthroscopy

Tendonitis

Lateral Peroneals

Subluxing Tear Os Peroneum

Tendonitis

Medial Tom, Dick, very nervous Harry

Isolotation testing Posterior tibial tendon Flexer digitorm longus Flexer hallucis longus

Tendonitis

Achilles Tendon Hanglunds deformityl Tendonopathy Posterior calcaneal spur Equinus Bursitis

Know Your Anatomy

Know Your Anatomy

Know Your Anatomy

Know Your Anatomy

Chronic Ankle Pain

Bone Anterior Ankle Impingement Os Trigonum Syndrome Tibiofibular diastasis Osteochondral defects

Osteochondral defect

Osteochondral defect

Os Trigonum

Anterior Ankle Impingement

Chronic Ankle Pain

Mechanical Sinus Tarsi Syndrome Chronic Ankle Instability

Calcaneal varus Plantarflexed 1st ray

Sinus Tarsi

Sinus Tarsi

Any questions?