Successful Treatment of Anterior Knee Impingement Syndrome in Taekwondo Athletes / 대한정형외과학회잡지

Fat pad hypertrophy, degeneration and scar tissue at the anterior knee in Taekwondo athletes can occur due to repetitive training such as kicking. This scar tissue can cause pain at the anterior compartment of the knee joint by impingement during knee flexion and extension. We obtained good results for treating anterior impingement syndrome by performing arthroscopic resection, and we also report on the relevant medical literature.

Anterior Impingement Syndrome of the Ankle / 대한족부족관절학회지

Impingement syndrome of the ankle is defined as painful mechanical limitation of full ankle movement secondary to osseous and/or soft tissue abnormality. These conditions occur more commonly in active people and athletes probably because recurrent subclinical injury is an important factor in development of the syndrome. Impingement syndromes of the ankle are categorized according to their anatomical site around the ankle joint. Anterolateral, anterior and posterior impingement has been extensively described in the orthopaedic literature. The purpose of this article is to review the clinical feature and management of anterior impingement syndrome of the ankle.

Open Ostectomy of Anterior Impingement Syndrome: Comparison of Athletes and Nonathletes / 대한정형외과학회잡지

PURPOSE: To analyse the clinical results of open treatment of anterior impingement syndrome of the ankle and to determine if being athletics or nonathletics affects the result. MATERIALS AND METHODS: This study included 54 consecutive patients who had undergone surgery with an open modality. All had been diagnosed with anterior impingement syndrome and received conservative therapy for more than at least 3 months prior to surgery. Among them, 22 patients were high-level athletes. The patients were evaluated with a physical examination and simple radiograph. A bone scan or MRI were added if necessary. The patients were categorized into four groups according to the McDermott's grading system based on the lateral radiograph. Patients with McDermott's grade 4 change and with osteochondral lesions were excluded. The results of the Ogilvie-Harris score, a visual analogue scale of the patient satisfaction and the time to return to full activity were assessed. RESULTS: The mean follow-up was 32 months, 82% of patients had good or excellent results. In general, the Ogilvie Harris score improved postoperatively. However, there was no significant difference between groups. There was no statistical significance between the athletics and non-athletics in terms of the improvement in the Ogilvie-Harris score. 91% of patients were satisfied in the final follow-up (more than 80% in the visual analogue scale). The mean time to return to full activity was 10.5 weeks with the athletes and 8.8 weeks with the nonathletes. CONCLUSION: Open surgical treatment for anterior impingement syndrome may be an effective modality regardless of the patient being an athlete or non-athlete.