1. Chronic Ankle Pain David B. Glover DPM, FACFAS

2. Chronic Ankle Pain This presentation has no commercial content, promotes no commercial vendor and is not supported financially by any commercial vendor. I receive no financial remuneration from any commercial vendor related to this presentation.

3. Chronic Ankle Pain Soft Tissue Capsulitis/ligaments Tenosynovitis Peroneal tendons Posterior tibial tendon Achilles Tendon

4. Capsulitis Previous ankle injury Prolonged immobilization Painful, limited ROM without crepitus X-rays generally not helpful PT, Injections, Arthroscopy

5. Tendonitis Lateral Peroneals Subluxing Tear Os Peroneum

6. Tendonitis Medial Tom, Dick, very nervous Harry Isolotation testing Posterior tibial tendon Flexer digitorm longus Flexer hallucis longus

7. Tendonitis Achilles Tendon Hanglunds deformityl Tendonopathy Posterior calcaneal spur Equinus Bursitis

8. Know Your Anatomy

12. Chronic Ankle Pain Bone Anterior Ankle Impingement Os Trigonum Syndrome Tibiofibular diastasis Osteochondral defects

13. Osteochondral defect

15. Os Trigonum

16. Anterior Ankle Impingement

17. Chronic Ankle Pain Mechanical Sinus Tarsi Syndrome Chronic Ankle Instability Calcaneal varus Plantarflexed 1 st ray

18. Sinus Tarsi

20. Any questions?