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The Journal of Bone and Joint Surgery 78:1491-1500 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Pain in the Posterior Aspect of the Ankle in Dancers. Differential Diagnosis and Operative Treatment*

WILLIAM G. HAMILTON, M.D.{dagger}, MARK J. GEPPERT, M.D.{ddagger} and FRANCESCA M. THOMPSON, M.D.§, NEW YORK, N.Y.

Investigation performed at St. Luke's-Roosevelt Hospital, New York City

A retrospective review was performed of the results of operative treatment of stenosing tenosynovitis of the flexor hallucis longus tendon or posterior impingement syndrome, or both, in thirty-seven dancers (forty-one operations). The average duration of follow-up was seven years (range, two to thirteen years). The results were assessed with use of a questionnaire for all patients, and a clinical evaluation was performed for twenty-one patients (twenty-two ankles). Twenty-six operations were performed for tendinitis and posterior impingement; nine, for isolated tendinitis; and six, for isolated posterior impingement syndrome. A medial incision was used in thirty-three procedures; a lateral incision, in six; an anterior and a medial incision, in one; and a lateral and a medial incision, in one. Thirty ankles had a good or excellent result; six, a fair result; and four, a poor result. (The result of the second procedure on an ankle that was operated on twice was not included.) The result was good or excellent for twenty-eight of the thirty-four ankles in professional dancers, compared with only two of the six ankles in amateur dancers.


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