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Combined Anterolateral, Anterior, and Anteromedial Ankle Impingement in an Adolescent Soccer Player

A Case Report and Review of the Literature

Cosma, Dan I. MD, PhD*; Vasilescu, Dana E. MD, PhD*; Corbu, Andrei MD*; Todor, Adrian MD, PhD; Valeanu, Madalina PhD; Ulici, Alexandru MD, PhD§

Clinical Journal of Sport Medicine: November 2019 - Volume 29 - Issue 6 - p e80–e82
doi: 10.1097/JSM.0000000000000576
Case Report

Abstract: A unique case of combined anterolateral, anterior, and anteromedial ankle impingement in an adolescent soccer player is presented in this article. To the best of our knowledge, this is the only report of circumferential, massive, anterior ankle impingement in children described in the literature. The importance of proper diagnosis and treatment of such a lesion is illustrated in this case report. We also emphasize that clinical examination combined with 3D computed tomography scan reconstruction is an excellent and cost-effective imaging modality that can help with the diagnosis of anterior ankle impingement. Finally, open surgical treatment showed excellent results in an elite athlete.

Departments of *Pediatric Orthopedics;

Orthopedics and Traumatology; and

Medical Informatics, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Cluj-Napoca, Romania; and

§Department of Pediatric Orthopedics, University of Medicine and Pharmacy “Carol Davila” Bucharest, Bucharest, Romania.

Corresponding Author: Madalina Valeanu, PhD, Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, 6 Pasteur St, Cluj-Napoca, Romania 400349 (

The authors report no conflicts of interest.

Received August 08, 2017

Accepted December 14, 2017

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