ARTHROSCOPIC TREATMENT OF ANTERIOR IMPINGEMENT IN THE ANKLE
Abstract
Background. Anterior soft tissue impingement is a common cause of chronic pain in the ankle. The preferred method of operative treatment is an arthroscopic excision of hypertrophic fibrous and synovial tissue in the anterior part of the ankle joint.
Methods. We present the results of arthroscopic treatment of anterior ankle impingement in group of 14 patients.
Results. Subjective improvement after the procedure was observed in all patients and 13 of them (93%) were without any symptoms after the operation. One patient reported of intermittent pain, especially when walking on uneven grounds.
Conclusions. We conclude that arthroscopic excision of hypertrophic synovial tissue in the anterior part of the ankle which causes the symptoms of impingement is a minimally invasive procedure that is both safe and reliable. When used for appropriate indications, an improvement can be expected in over 90% of patients.
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References
Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 1998; 19: 653–60.
Molloy S, Solan MC, Bendall SP. Synovial impingement in the ankle – a new physical sign. JBJS 2003; 85–B: 330–3.
Tol JL, Verheyen CPPM, van Dijk CN. Arthroscopic treatment of anterior impingement in the ankle. JBJS 2001; 83–B: 9–13.
Ferkel RD, Karzel RP, Del Pizzo WP. Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med 1991; 19: 440–6.
Taillard W, Meyer JM, Garcia J, Blanc Y. The sinus tarsi syndrome. Int Orthop 1981; 5: 117–30.
Liu SH, Raskin A, Osti L Arthroscopic treatment of anterolateral ankle impingement. Arthroscopy 1994; 10: 215–8.
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