Template:Ankle Pain DDX: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
===Diffuse===
===Diffuse===
*Ankle (Tibiotalar) Osteoarthritis
*[[Ankle (Tibiotalar) Osteoarthritis]]
*Subtalar Osteoarthritis
*Subtalar Osteoarthritis
*Inflammatory arthropathies - [[Rheumatoid Arthritis]], septic arthritis, gout, [[Osteonecrosis]].
*Inflammatory arthropathies - [[Rheumatoid Arthritis]], septic arthritis, gout, [[Osteonecrosis]].
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*Myelodysplastic and leukaemic disorders
*Myelodysplastic and leukaemic disorders
*Plant-thorn synovitis
*Plant-thorn synovitis
*[[CRPS]]


===Ankle pain persistent following injury===
===Ankle pain persistent following injury===
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*Atypical sprains - chronic ligamentous instability, medial ligament sprain, syndesmosis sprain (AITFL sprain), subtalar joint sprain
*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
*Tendon injuries - chronic peroneal tendon weakness, peroneal tendon subluxation/rupture, tibialis posterior tendon subluxation/rupture
*Other - inadequate rehabiliation, chronic synovitis, sinus tarsi syndrome, complex regional pain syndrome type 1
*Other - inadequate rehabilitation, chronic synovitis, sinus tarsi syndrome


===Lateral Ankle Pain===
===Lateral Ankle Pain===
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*Recurrent dislocation of peroneal tendons
*Recurrent dislocation of peroneal tendons
*Stress fractures (talus, distal fibula)
*Stress fractures (talus, distal fibula)
*Referred pain (lumbar, peroneal nerve, superior tibiofibular joint)
*[[Referred Pain]] ([[Lumbar Pain Maps|lumbar]], peroneal nerve, superior tibiofibular joint)
*[[Cuboid Syndrome]]
*[[Cuboid Syndrome]]
*[[CRPS|Complex regional pain syndrome type 1 (following knee or ankle injury)]]


===Medial Ankle Pain===
===Medial Ankle Pain===
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*[[Flexor Hallucis Longus Tendinopathy]]
*[[Flexor Hallucis Longus Tendinopathy]]
*[[Medial Calcaneal Nerve Entrapment]]
*[[Medial Calcaneal Nerve Entrapment]]
*Stress fracture (calcaneal, talar, medial malleolarnavicular
*Stress fracture (calcaneal, talar, medial malleolarnavicular)
*[[Tarsal Tunnel Syndrome]]
*[[Tarsal Tunnel Syndrome]]
*[[Posterior Ankle Impingement]]
*[[Posterior Ankle Impingement]]
*Referred pain from lumbar spine
*[[Referred Pain]] from the [[Lumbar Pain Maps|lumbar spine]]
*Complications of acute ankle injuries
*Complications of acute ankle injuries
*Complex regional pain syndrome type 1 (following knee or ankle injury)


===Posterior Ankle Pain===
===Posterior Ankle Pain===
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*Achilles bursitis
*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
*Achilles tendon rupture
*Achilles tendon rupture
*Achilles tendinopathy due to inflammatory arthropathies
*Achilles enthesopathy due to inflammatory arthropathies


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Revision as of 21:50, 3 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)
  • Posterior impingement syndrome
  • Insertional Achilles Tendinopathy (including retrocalcaneal bursitis and haglund's disease)
  • Plantaris Tendinopathy
  • Sever's disease (adolescents)
  • Achilles bursitis
  • Accessory or low soleus muscle
  • Referred Pain (neural structures, lumbar spine), and sural neuropathy
  • Achilles tendon rupture
  • Achilles enthesopathy due to inflammatory arthropathies


Articles using Template