{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:52Z","timestamp":1787755372915,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 13-year-old healthy, nearly skeletally mature, female patient presented to an outpatient clinic after sustaining a bimalleolar ankle fracture-dislocation, which was subsequently treated with open reduction and internal fixation and casting. Postoperatively, the patient had significant limitations to ankle range of motion. Imaging revealed posterior tibiotalar impingement. The patient underwent arthroscopic debridement and osteoplasty, and she was able to return to previous levels of activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Complications from pediatric ankle fractures are rare, so further diagnostic workup is warranted for patients with persistent pain and limitations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00629","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T10:01:33Z","timestamp":1703152893000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Tibiotalar Impingement After Pediatric Ankle Fracture Surgical Fixation"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9243-8098","authenticated-orcid":false,"given":"David S.","family":"Liu","sequence":"first","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0381-503X","authenticated-orcid":false,"given":"Ian T.","family":"Watkins","sequence":"additional","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Adams","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis E.","family":"Kramer","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0327-3541","authenticated-orcid":false,"given":"Colyn J.","family":"Watkins","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.fcl.2015.07.004","article-title":"Pediatric ankle fractures","volume":"20","author":"Su","year":"2015","journal-title":"Foot Ankle Clin."},{"issue":"7","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"e506","DOI":"10.1097\/BPO.0000000000001833","article-title":"Physeal fractures of distal tibia: a systematic review and meta-analysis","volume":"41","author":"Jalkanen","year":"2021","journal-title":"J Pediatr Orthop."},{"issue":"3","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/01.bpo.0000217714.80233.0b","article-title":"Salter-harris I and II fractures of the distal tibia","volume":"26","author":"Rohmiller","year":"2006","journal-title":"J Pediatr Orthop."},{"issue":"13","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.2106\/JBJS.K.00682","article-title":"Ankle fractures in children","volume":"94","author":"Blackburn","year":"2012","journal-title":"J Bone Joint Surg."},{"issue":"3","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1053\/j.jfas.2021.12.013","article-title":"Incidence of chondral and osteochondral lesions in ankle fracture patients identified with ankle arthroscopy following rotational ankle fracture: a systematic review","volume":"61","author":"Williamson","year":"2022","journal-title":"J Foot Ankle Surg."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"247301142090404","DOI":"10.1177\/2473011420904046","article-title":"Outcomes following ankle fracture fixation with or without ankle arthroscopy","volume":"5","author":"Smith","year":"2020","journal-title":"Foot Ankle Orthop."},{"issue":"suppl 1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.1097\/BPO.0000000000001163","article-title":"Arthroscopic treatment of pediatric fractures","volume":"38","author":"Accadbled","year":"2018","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.fas.2010.01.005","article-title":"Posttraumatic impingement syndrome of the ankle\u2014indication and results of arthroscopic therapy","volume":"17","author":"Arnold","year":"2011","journal-title":"Foot Ankle Surg."},{"issue":"8","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1177\/107110070302400802","article-title":"Posterior tibiotalar ligament injury resulting in posteromedial impingement","volume":"24","author":"Koulouris","year":"2003","journal-title":"Foot Ankle Int."},{"issue":"5","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1177\/03635465010290050501","article-title":"The posteromedial impingement lesion of the ankle","volume":"29","author":"Paterson","year":"2001","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.fcl.2020.07.002","article-title":"Anterior and posterior ankle impingement syndromes","volume":"26","author":"Nery","year":"2021","journal-title":"Foot Ankle Clin."},{"issue":"9","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"545","DOI":"10.5435\/JAAOS-22-09-545","article-title":"Os trigonum syndrome","volume":"22","author":"Nault","year":"2014","journal-title":"J Am Acad Orthop Surg."},{"issue":"3","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jcot.2020.03.008","article-title":"Posterior ankle impingement disguised as peroneal tendon subluxation in young athletes \u2013 a case report","volume":"11","author":"Kushare","year":"2020","journal-title":"J Clin Orthop Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00629","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:51Z","timestamp":1787751711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00629"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00629","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}