2008, Number 2
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Acta Ortop Mex 2008; 22 (2)
Arthroscopic treatment for anterolateral ankle impingement of Athletes
Busto VJM, Bautista CR, Figueroa CMF, Liberato GI
Language: Spanish
References: 32
Page: 103-106
PDF size: 110.91 Kb.
ABSTRACT
Introduction: Anterolateral impingement is a common pathology in athletes; due to multiple forced mechanisms of inversion there are structures that are impinged in the anterolateral corner it. Conservative treatment has given bad results as conventional surgery impeding the athlete to perform his normal physical activity.
Material and methods: We conducted a prospective, observational, and descriptive study in thirty-eight high performance athletes with anterolateral impingement and a poor response to conservative treatment. A single surgeon carried out arthroscopic treatment and specific rehabilitation treatment was done after surgery.
Results: Basing on AOFAS scale we obtained 74% of good results, 21% of regular results and 5% of bad results.
Conclusions: Arthroscopic surgery is the Ideal treatment for anterolateral impingement, radiofrequency systems permit a low rate of complications. Physical therapy and rehabilitation in the postoperative period must always exist.
REFERENCES
Rouvière H, Canela M: Le ligament peronéo-astragalo-calcanéen. Ann Anat Pathol 1932; (9): 745-50.
Biedert R: Anterior ankle pain in sports medicine, aetiology and indications for arthroscopy. Arch Orthop Trauma Surg 1991; 110(6): 293-7.
Rubin DA, Tisshkoff NW, Britton CA: Anterolateral soft-tissue impingement in the ankle, diagnosis using MR imaging. AJR 1997; (169): 829-35.
Tol JL, Van Dijk CN: Anterior ankle impingement. Foot Ankle Clin 2006; 11(2): 297-310.
Alvarez CM, Juarez RC, León PM, Ochoa CR: Artroscopía de tobillo; análisis de indicaciones y resultados. Serie de 17 casos consecutivos. Act Ortop Mex 2003; 17(6): 265-275.
Jordan LK, Helms CA, Cooperman AE, Speer KP: Magnetic resonance imaging findings in the anterolateral impingement of the ankle. Skeletal Radiol 2000; (29): 34-9.
Ghul JF: Foot and ankle arthroscopy, second edition, New York, Snack Incorporated, 1993.
Burman MS: Arthroscopy or the direct visualization of joint, an experimental cadaver study. J Bone Joint Surg 1931; (13): 669-95.
Ferkel RD: Arthroscopy surgery, the foot and ankle, Philadelphia, Lippincot-Raven, 1996.
Zini R: Artroscopia Della caviglia, Manuale practico di tecnica chuirurgica, Fano, Editrice Fortuna, 1996.
Pena GFA, Amándola N: The ankle, McGinty, 3th edition, Philadelphia, Lippincott Williams & Wilkins, 2003: 187-9.
O’Farrell D, Dudeney S, McNally S, Moran R: Pseudoaneurysm formation after ankle arthroscopy. Foot ankle 1997; (18): 578-9.
Mariani PP, Mancini L, Giorgini T: Psudoaneurysm as a complication of ankle arthroscopy, case report. Arthroscopy 2001; (17): 400-2.
Sartoretti C, Sartoretti-Schefer S, Duff C, Buchmann P: Angioplasty ballon catheters used for distraction of the ankle joint. Arthroscopy 1996; (12): 82-6.
Cameron SE: Noninvasive distraction for ankle arthroscopy, technical note. Arthroscopy 1997; (13): 366-9.
Van Dijk CN, Verhagen RAW, Tol HJL: Resterilizable noninvasive ankle distraction device, technical note. Arthroscopy 2001; (17): E12.
Kumar VP, Satku K: The A-O femoral distractor for ankle arthroscopy, technical note. Arthroscopy 1994; (10): 118-9.
Casteleyn PP, Handelberg F: A simple distraction technique for ankle arthroscopy. J Bone Joint Surg 1993; (75B): 138.
Ferkel RD, Guhl JF, Heath DD: Neurological complications of ankle arthroscopy. Arthroscopy 1996; (35): 200-8.
Matthews LS, Zarins B, Michael RH, Helfet DL: Anterior portal selection for shoulder arthroscopy. Arthroscopy 1985; (1): 33-9.
Reinmann R: Der variable streckapparat der kleinen sehe. Gegen Morphol Jah 1981; (127): 188-209.
Adkison DP, Bosse MJ, Gaccione DR, Gabriel KR: Anatomic variations in the course of the superficial peroneal nerve. J Bone Joint Surg 1991; (73A): 112-4.
Sayli U, Tekdemyr Y, Cubuk HE, Avci S, Tücar E, Ethan HA, Uz A: The course of the superficial peroneal nerve, an anatomical cadaver study. Foot Ankle Surg 1998; (4): 63-9.
Chen YC: Clinical and cadaver studies on the ankle joint arthroscopy. Jpn Orthop Assoc 1976; (50): 631-51.
Feiwell LA, Frey C: Anatomic study of arthroscopic portal sites of the ankle. Foot Ankle 1993; (14): 142-7.
Baravarian B: Soft-tissue disorders of the ankle; a comprehensive arthroscopic approach. Clin Podiatr Med Surg 2002; 19(2): 271-83, vi.
Saito A, Kikuchi S: Anatomic relations between ankle arthroscopic portal sites and the superficial peroneal and saphenous nerves. Foot Ankle 1998; (19): 748-52.
Ferkel RD, Karzel RP, Del Pizzo W, Friedman MJ, Fischer SP: Arthroscopic treatment of anterolateral impingement of the ankle. Am J of Sports Med 1991; 19(5): 440-6.
Kim SH, Ha KI: Arthroscopic treatment for impingement of the arterolateral sotf tissues of the ankle. J Bone Joint Surg 2000; (82-B): 1019-21.
Urgüden M, Söyüncü Y, Ozdemir H, Sekburn H, Akyildiz FF, Aydin AT: Arthroscopic treatment of anterolateral soft tissue impingement of the ankle; evaluation of factors affecting outcome. Arthroscopy 2005; 21(3): 317-22.
Philbin TM, Lee TH, Breslet GC: Arthroscopy for athletic foot and ankle injuries. Clin Sports Med 2004; 23(1): 35-33, VI.
Hassan AH: Treatment of anterolateral impingements of the ankle joint by arthroscopy. Knee Surg Sports Traum Arthrosc 2007; 26: 14-20