Ankle Pain Differential Diagnoses

From WikiMSK


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

Paediatric Heel Pain

Acute injuries

  • Friction blister
  • Plantar puncture wound
  • Laceration
  • Contusion
  • Calcaneal fracture
  • Achilles tendon rupture

Overuse Injuries

  • Sever Disease (Calcaneal Apophysitis)
  • Plantar fasciitis
  • Painful heel pad syndrome (heel contusion)
  • Achilles Tendinopathy
  • Retrocalcaneal bursitis
  • Posterior ankle impingement
  • Calcaneal stress fracture

Bone Conditions

  • Unicameral (simple) bone cyst
  • Bone tumour
  • Osteochondritis dissecans (posterior medial talus)

Infectious, Neurologic, and Systemic Conditions

  • Cellulitis or abscess
  • Calcaneal osteomyelitis
  • Plantar warts
  • Inflammatory enthesitis
  • Tarsal tunnel syndrome