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Posterior ankle impingement — MSRA MCQ

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ModerateAnkle and FootPosterior ankle impingementMSRA

A 28-year-old dancer has pain at the posterior ankle during forced plantar flexion. Symptoms are worse en pointe and a posterior impingement test reproduces pain. What is the most likely diagnosis?

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Correct answer: C — Posterior ankle impingement

Posterior ankle impingement is common in dancers and kicking athletes exposed to repetitive plantar flexion. Pain with posterior impingement testing and en pointe positions supports the diagnosis. Imaging may identify an os trigonum or soft-tissue impingement when symptoms persist.

Reference: Brukner & Khan; BJSM