{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:16:44Z","timestamp":1782847004952,"version":"3.54.5"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T00:00:00Z","timestamp":1494806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Background. Ankle impingement is a common cause of chronic ankle pain. We retrospectively studied the effectiveness of ultrasound-guided percutaneous needle fenestration of the pathological soft tissues combined with corticosteroid injection to treat this condition. Methods. We administered a telephone survey to patients who underwent the procedure. Patients were asked questions on the Foot Function Index and queried about their overall satisfaction with the procedure on a scale of 0 (completely unsatisfied) to 10 (very satisfied). Results. Forty-nine patients participated in the survey: 26 women and 23 men, mean age 42.7 years (range, 19-65 years). Impingement was anterior in 26\/49 (53.1%), anterolateral in 14\/49 (28.6%), and both in 9\/49 (18.4%). Mean pain level before the procedure was 6.76 \u00b1 1.84 and after the procedure was 2.73 \u00b1 2.21. Reported pain scale levels declined by 4.02 \u00b1 2 units after the procedure (P &lt; .0001). Patient\u2019s overall satisfaction was 7.9 \u00b1 2.44. Conclusions. Ultrasound-guided percutaneous needle fenestration and corticosteroid injection appears to be an effective nonoperative alternative for treatment of anterior and\/or anterolateral ankle impingement.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level IV<\/jats:p>","DOI":"10.1177\/1938640017709904","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T01:21:51Z","timestamp":1494897711000},"page":"61-66","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Ultrasound-Guided Percutaneous Needle Fenestration and Corticosteroid Injection for Anterior and Anterolateral Ankle Impingement"],"prefix":"10.1177","volume":"11","author":[{"given":"Levon N.","family":"Nazarian","sequence":"first","affiliation":[{"name":"Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (LNN, NVG)"},{"name":"Cooper Medical School of Rowan University, Camden, New Jersey (ECF)"},{"name":"Pennsylvania Orthopaedic Foot and Ankle Surgeons, Pennsylvania Hospital, Philadelphia, Pennsylvania (WC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nar V.","family":"Gulvartian","sequence":"additional","affiliation":[{"name":"Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (LNN, NVG)"},{"name":"Cooper Medical School of Rowan University, Camden, New Jersey (ECF)"},{"name":"Pennsylvania Orthopaedic Foot and Ankle Surgeons, Pennsylvania Hospital, Philadelphia, Pennsylvania (WC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik C.","family":"Freeland","sequence":"additional","affiliation":[{"name":"Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (LNN, NVG)"},{"name":"Cooper Medical School of Rowan University, Camden, New Jersey (ECF)"},{"name":"Pennsylvania Orthopaedic Foot and Ankle Surgeons, Pennsylvania Hospital, Philadelphia, Pennsylvania (WC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (LNN, NVG)"},{"name":"Cooper Medical School of Rowan University, Camden, New Jersey (ECF)"},{"name":"Pennsylvania Orthopaedic Foot and Ankle Surgeons, Pennsylvania Hospital, Philadelphia, Pennsylvania (WC)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,5,15]]},"reference":[{"key":"bibr1-1938640017709904","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-05-333"},{"key":"bibr2-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500603"},{"key":"bibr3-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.32B1.68"},{"key":"bibr4-1938640017709904","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195739040-00007"},{"key":"bibr5-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.02.005"},{"key":"bibr6-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800708"},{"key":"bibr7-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B4.13871"},{"key":"bibr8-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0346-4"},{"key":"bibr9-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80097-0"},{"key":"bibr10-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713510912"},{"key":"bibr11-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2002.120202.x"},{"key":"bibr12-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500603"},{"key":"bibr13-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-007-0411-6"},{"key":"bibr14-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-013-0054-5"},{"key":"bibr15-1938640017709904","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0614"},{"key":"bibr16-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(91)90220-4"},{"key":"bibr17-1938640017709904","doi-asserted-by":"publisher","DOI":"10.3181\/00379727-163-40750"},{"key":"bibr18-1938640017709904","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12346"}],"container-title":["Foot &amp; 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