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Abstract：
A literature review has been undertaken to assess the efficacy of management of Posterior Ankle Impingement Syndrome with an emphasis on sport. The evidence is confined to Level IV and V studies. There is a lack of prospective studies on the natural history of this condition and the outcomes of conservative treatment. Dance dominates the literature accounting for 62% of reported sports. Forty-seven papers have reported on the surgical outcomes of 905 procedures involving both open and artho-endoscopic techniques. 81% of patients required excision of osseous pathology and 42% soft-tissue problems resolving. There is a lack of standardisation of outcome reporting particularly in the open surgery group. However, the complication rates are relatively low: 3.9% for open medial, 12.7% for open lateral and 4.8% for arthro-endocopic surgery. Return to sport appears quicker for all activities in the arthro-endoscopic group but comparison of long term outcomes is more difficult with no evidence supporting superior long term results of one technique over another. Soccer players appear to return more quickly to activity than dancers.
摘要：
已经进行了文献综述，以评估以运动为重点的后踝关节撞击综合征的治疗效果。证据仅限于IV级和V级研究。缺乏关于这种情况的自然史和保守治疗结果的前瞻性研究。舞蹈在文献中占主导地位，占所报道体育的62％。有47篇论文报道了涉及开放式和硬内窥镜技术的905例手术的手术结果。81％的患者需要切除骨病理学，42％的软组织问题得到解决。结果报告缺乏标准化，特别是在开放手术组中。然而,并发症发生率相对较低：开放内侧为3.9%，开放外侧手术为12.7%，关节内膜手术为4.8%。在关节内窥镜组中，所有活动的恢复运动似乎都更快，但是长期结果的比较更加困难，没有证据支持一种技术优于另一种技术的长期结果。足球运动员似乎比舞者更快地恢复活动。
