What is Hindfoot impingement?
Main points. Lateral hindfoot impingement is bony abutment of the talus and calcaneum (talocalcaneal impingement) and of the fibula (subfibular impingement) with entrapment of the lateral soft tissues of the hindfoot.
What causes Subfibular impingement?
Subfibular impingement is one cause of extraarticular ankle impingement associated with lateral ankle pain and is typically associated with pes planovalgus resulting from posterior tibial tendon dysfunction or calcaneal fracture malunion.
How is anterior impingement treated?
The treatment for anterior impingement in the ankle can include physical therapy to help improve the range of motion and break down scar tissue, anti-inflammatory medications to relieve pain and swelling, and ultimately surgery to remove the tissue or bone that is causing the blockage.
What is Subfibular impingement?
Subfibular impingement, which refers to either soft tissue or osseous impingement between the distal fibula and calcaneus, is characterized by pain at the lateral aspect of the hindfoot and often coexists with talocalcaneal and sinus tarsi impingement.
How do I fix my hindfoot valgus?
The medial sliding osteotomy of the calcaneus is a simple and effective treatment for hindfoot valgus in pediatric patients with severe hindfoot valgus. It provides excellent correction of the deformity, allows early weight bearing, and preserves subtalar motion.
How do you fix calcaneal valgus?
In order to correct the calcaneal valgus, reduce the tendency of your arch of the foot to sag and fight against the premature wear of your shoes; Place the Supinator Heels inside all your shoes to straighten up the heel. – If the wear of the shoes is too pronounced repair them or replace them.
What is medial impingement?
Medial impingement syndrome develops with spur formation along the most anterior portion of the medial talar facet and a corresponding “kissing” osteophyte just anterior to the corner of the medial ankle mortise and the front of the medial malleolus. The 2 spurs abut during ankle dorsiflexion (Figure 2).
What is OS Trigonum syndrome?
The Os Trigonum Syndrome refers to pain posterior of the ankle and reduced plantarflexion caused by “the nutcracker-phenomenon”. When an os trigonum is present, this accessory ossicle together with surrounding soft tissues can become wedged between the tibia, talus and calcaneus.
What is anterior shoulder impingement?
Anterior internal impingement is a recently suggested mechanism for activity-related pain of the shoulder. Impingement syndromes were initially described to occur due to repetitive or excessive contact between the rotator cuff and other structures in the shoulder.
What kind of joint is the talocalcaneal joint?
Talocalcaneal joint. The talocalcaneal joint, also called the anatomical subtalar joint, is an important and complex joint in the hindfoot that allows articulation of the talus and calcaneus.
What causes impingement at the top of the shoulder?
Causes of shoulder impingement. When you lift your arm, the rotator cuff tendon passes through a narrow space at the top of your shoulder, known as the subacromial space. Shoulder impingement occurs when the tendon rubs or catches on the bone at the top of this space, called the acromion.
What causes pain in the subacromial area of the shoulder?
Subacromial impingement is the most common cause of shoulder pain which occurs as a result of compression of the rotator cuff muscles by superior structures (AC joint, acromion, CA ligament) leading to inflammation and development of bursitis.
What are the articulations between the calcaneus and the talus?
It comprises three articulations between talus and calcaneus 1: anterior: head of talus with anterior facet of the calcaneus; small articulation in size, just lateral to medial facet middle: the medial (sustentacular) facet of talus with the middle facet at the sustentaculum tali of the calcaneus