Template:Ankle Pain DDX: Difference between revisions

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==Differential Diagnosis==
===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===
===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===
*[[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, 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)]]
*[[Os Peroneum]]
*Osteochondritis dissecans (anterior lateral talus)


===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 malleolar, navicular)
*[[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)
*Os tibiale externum (accessory navicular)
*Osteochondritis dissecans (posterior medial talus)


===Posterior Ankle Pain===
===Posterior Ankle Pain===
*Midportion [[Achillles Tendinopathy]] (this includes tendinosis, paratendonitis, and partial tears)
{{Posterior Ankle Pain DDX}}
*Posterior impingement syndrome
*Insertional achilles tendinopathy (including retrocalcaneal bursitis and haglund's disease)
*Sever's disease (adolescents)
*Achilles bursitis
*Accessory soleus muscles
*Referred pain (neural structures, lumbar spine)
*Achilles tendon rupture
*Achilles tendinopathy due to inflammatory arthropathies

Latest revision as of 21:35, 15 April 2022

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