{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:28:52Z","timestamp":1769045332691,"version":"3.49.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Anterior ankle impingement syndrome (AAIS) is a degenerative condition that causes anterior ankle pain and limited dorsiflexion, especially in athletes. It results from either osseous (osteophytes) or soft tissue (synovial hypertrophy, fibrosis) pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Although conservative treatments offer temporary relief, arthroscopic surgery has become the preferred approach due to its minimally invasive technique and surgical precision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Current evidence shows 80%\u201390% success rates, with significant improvements in visual analog scale scores (mean reduction of 4.1 points) and American orthopedic foot &amp;amp; ankle society scores (mean increase of 28 points), along with low complication rates (2%\u20137%). However, outcomes are closely linked to the severity of pre-existing osteoarthritis, with 93% success in non-arthritic joints compared to 53% in cases with moderate osteoarthritis. Key research limitations include heterogeneous study designs, small sample sizes, and a lack of long-term data (only 18.6% of studies report \u22655-year follow-up).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Future research should focus on standardizing outcome measures, assessing the cost-effectiveness of advanced techniques, and establishing evidence-based protocols for patient selection and rehabilitation. These efforts will help optimize surgical decision-making and enhance long-term outcomes for patients with AAIS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1613472","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T11:22:24Z","timestamp":1768994544000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A perspective on arthroscopic treatment for anterior ankle impingement syndrome: clinical research insights"],"prefix":"10.3389","volume":"12","author":[{"given":"Long-Ze","family":"Zong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong-Yu","family":"Bai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1691","DOI":"10.1007\/s00247-019-04459-5","article-title":"Impingement syndromes of the ankle and hindfoot","volume":"49","author":"Zbojniewicz","year":"2019","journal-title":"Pediatr Radiol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1007\/s00117-017-0228-9","article-title":"Impingement syndrome of the ankle","volume":"57","author":"Milos","year":"2017","journal-title":"Radiologe"},{"key":"B3","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1186\/s13018-016-0430-x","article-title":"Ankle impingement","volume":"11","author":"Lavery","year":"2016","journal-title":"J Orthop Surg Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1177\/03635465020300012101","article-title":"The relationship of the kicking action in soccer and anterior ankle impingement syndrome. 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