Ankle Pain Differential Diagnoses: Difference between revisions
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Revision as of 08:29, 20 June 2020
Diffuse
- Ankle (Tibiotalar) Osteoarthritis
- Subtalar Osteoarthritis
- Inflammatory arthropathies - Rheumatoid Arthritis, septic arthritis, osteomyelitis, gout, Osteonecrosis.
- Sarcoid periarthritis
- Benign or malignant neoplasms, myelodysplastic and leukaemic disorders
- Plant-thorn synovitis
- CRPS
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
- Peroneal Tendinopathy or recurrent dislocation of peroneal tendons
- Sinus Tarsi Syndrome
- Impingement syndrome (anterolateral, posterior)
- Stress fractures (talus, distal fibula)
- Referred Pain (lumbar, peroneal nerve, superior tibiofibular joint)
- Cuboid Syndrome
- Os Peroneum
- Osteochondritis dissecans (anterior lateral talus)
Medial Ankle Pain
- Tibialis Posterior Tendinopathy
- Flexor Hallucis Longus Tendinopathy
- Medial Calcaneal Nerve Entrapment
- Stress fracture (calcaneal, talar, medial malleolar, navicular)
- Tarsal Tunnel Syndrome
- Posterior Ankle Impingement
- Referred Pain from the lumbar spine
- Complications of acute ankle injuries
- Os tibiale externum (accessory navicular)
- Osteochondritis dissecans (posterior medial talus)
Posterior Ankle Pain
- Midportion Achilles Tendinopathy
- Insertional Achilles Tendinopathy
- Retrocalcaneal bursitis
- Paratenon inflammation
- Posterior impingement syndrome
- Plantaris Tendinopathy
- Sever Disease (Calcaneal Apophysitis)
- Accessory or low soleus muscle
- Referred Pain (neural structures, lumbar spine), and sural neuropathy
- Achilles tendon rupture
- Achilles enthesopathy due to inflammatory arthropathies
- Osteochondritis dissecans (posterior medial talus)
