Inversion injuries of the ankle are common and most are managed adequately by functional treatment. A significant number will, however, remain symptomatic. Synovial impingement is one cause of continuing pain. This condition is often difficult to diagnose because the physical signs and investigations are non-specific. If the diagnosis is made, treatment by arthroscopic debridement has been show...

We report on a 45-yr-old male sports instructor with chronic pain and instability of the ankle. He was a recreational basketball player, but because of repeated ankle sprains and chronic subtalar pain this activity became impossible. The radiologic findings were compatible with the diagnosis of accessory calcaneus. In an initial therapeutic approach the patient was treated conservatively with t...

A 25-year-old man with a pronation-external rotation type of fracture was surgically treated using a fibular plate. Five years later, he underwent resection of bone hyperplasia because of the ankle pain and limitation of range of motion. Thereafter, the left ankle became intermittently painful, which persisted for about one year. He presented at the age of 43 with persistent ankle pain. Physica...

A nkle arthritis is nine-times less common than hip or knee arthritis [2]. When ankle arthritis does occur, it causes pain and severe disability. Ankle arthritis is as physically debilitating as end stage renal disease, congestive heart failure, cervical spine arthritis, and radiculopathy [5]. The treatment options for severe ankle arthritis have changed during the past 10 to 15 years. Currentl...

Total ankle replacement (TAR) is the of a damaged arthritic joint with prosthetic implant to eliminate source resultant pain and swelling. Historically, however, has been one most difficult joints analyze replicate for successful due its complex anatomy multiplanar motion. Ankle fusion, standard care end stage arthritis, excellent functional outcomes but results in loss motion at joint. TAR was...

!i£l AJBS'JrRA CT Shock wave therapy is a relatively new treatment of foot and ankle pain. An acoustic sound wave similar to one used for lithotripsy can cause a hyperanalgesia effect reducing pain and can cause breakdown and neovascularization of c1u'onically damaged tissue. T1u'ee commercial sources are available for musculoskeletal applications. To date, the treatment seams to be effective f...

Os calcaneus secundarius is one of several accessory ossicles of the foot that have been identified as normal variants of skeletal development. It may cause ankle pain and may mimic an avulsion fracture of the anterior calcaneal process. A twenty-year-old male was admitted to our institution with right ankle pain following an inversion injury. An axial CT image of the patient's right ankle reve...

osteochondritis dissecans (ocd) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. in this study, we report an asymptomatic case of humeral head ocd, which was detected incidentally following a trauma. x-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. however, the...