Template:Ankle Pain DDX: Difference between revisions

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*Inflammatory arthropathies - [[Rheumatoid Arthritis]], septic arthritis, gout, [[Osteonecrosis]].
*Inflammatory arthropathies - [[Rheumatoid Arthritis]], septic arthritis, gout, [[Osteonecrosis]].
*Sarcoid periarthritis
*Sarcoid periarthritis
*Benign or malignant neoplasms
*Benign or malignant neoplasms, myelodysplastic and leukaemic disorders
*Myelodysplastic and leukaemic disorders
*Plant-thorn synovitis
*Plant-thorn synovitis
*[[CRPS]]
*[[CRPS]]
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===Lateral Ankle Pain===
===Lateral Ankle Pain===
*[[Peroneal Tendinopathy]]
*[[Peroneal Tendinopathy]] or recurrent dislocation of peroneal tendons
*[[Sinus Tarsi Syndrome]]
*[[Sinus Tarsi Syndrome]]
*Impingement syndrome (anterolateral, posterior)
*Impingement syndrome (anterolateral, posterior)
*Recurrent dislocation of peroneal tendons
*Stress fractures (talus, distal fibula)
*Stress fractures (talus, distal fibula)
*[[Referred Pain]] ([[Lumbar Pain Maps|lumbar]], peroneal nerve, superior tibiofibular joint)
*[[Referred Pain]] ([[Lumbar Pain Maps|lumbar]], peroneal nerve, superior tibiofibular joint)
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===Posterior Ankle Pain===
===Posterior Ankle Pain===
*Midportion [[Achilles Tendinopathy]] (this includes tendinosis, paratendonitis, and partial tears)
*Midportion [[Achilles Tendinopathy]] (this includes tendinosis, paratendonitis, and partial tears)
*Insertional [[Achilles Tendinopathy]] (including retrocalcaneal bursitis and haglund's disease)
*Posterior impingement syndrome
*Posterior impingement syndrome
*Insertional [[Achilles Tendinopathy]] (including retrocalcaneal bursitis and haglund's disease)
*Plantaris Tendinopathy
*Plantaris Tendinopathy
*Sever's disease (adolescents)
*Sever's disease (adolescents)
*Achilles bursitis
*[[Accessory Soleus|Accessory or low soleus muscle]]
*[[Accessory Soleus|Accessory or low soleus muscle]]
*[[Referred Pain]] (neural structures, lumbar spine), and sural neuropathy
*[[Referred Pain]] (neural structures, lumbar spine), and sural neuropathy

Revision as of 20:05, 5 March 2022

Differential Diagnosis

Diffuse

Ankle pain persistent following injury

  • Fractures - anterior process calcaneus, lateral process talus, posterior process talus (or, rare, os trigonum fracture), osteochondral lesion, tibial plafond chondral lesion, base of fifth metatarsal
  • Bony impingements - anterior, posterior, anterolateral
  • Atypical sprains - chronic ligamentous instability, medial ligament sprain, syndesmosis sprain (AITFL sprain), subtalar joint sprain
  • Tendon injuries - chronic peroneal tendon weakness, peroneal tendon subluxation/rupture, tibialis posterior tendon subluxation/rupture
  • Other - inadequate rehabilitation, chronic synovitis, sinus tarsi syndrome

Lateral Ankle Pain

Medial Ankle Pain

Posterior Ankle Pain

  • Midportion Achilles Tendinopathy (this includes tendinosis, paratendonitis, and partial tears)
  • Insertional Achilles Tendinopathy (including retrocalcaneal bursitis and haglund's disease)
  • Posterior impingement syndrome
  • Plantaris Tendinopathy
  • Sever's disease (adolescents)
  • Accessory or low soleus muscle
  • Referred Pain (neural structures, lumbar spine), and sural neuropathy
  • Achilles tendon rupture
  • Achilles enthesopathy due to inflammatory arthropathies


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