What conditions could lead to pain at the top of the ankle?

Pain at the top of the ankle can be caused by a few different conditions. One common cause is impingement lesions. These occur when soft tissues or bone structures around the ankle become pinched or squeezed, often due to repetitive movements or injuries. This can lead to pain and swelling.

Another possible cause is chondral or osteochondral lesions of the talar dome. These lesions involve damage to the cartilage or bone at the top of the ankle joint, which can result from a previous injury or repetitive stress. This damage can cause pain, swelling, and sometimes a feeling of catching or locking in the ankle.

Both of these conditions can be diagnosed using imaging techniques like MRI, which help doctors see the structures inside the ankle. Treatment may vary depending on the severity of the condition and can include rest, physical therapy, or in some cases, surgery.