Arthroscopic Assessment and Treatment of Medial Collateral Ligament Complex

Vega, Jordi; Guelfi, Matteo

doi:10.1016/j.fcl.2021.03.005

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…5 The role of MRI in CLAI of the ankle is the precise assessment of the associated joint and periarticular lesions for an adequate therapeutic approach. 46,47 Deltoid ligament injuries are associated with 10 to 40% of patients with CLAI of the ankle, especially of the anterior fascicles at their tibial insertion ("open book" lesion). Other injuries frequently related to CLAI are peroneal tendon lesions, osteochondral lesions of the talar dome, bone, or soft tissue impingement of the ankle, retinacular lesions, and intra-articular loose bodies (►Figs.…”

Section: Lesions and Patterns Of Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Ankle Instability Update

Cerezal,

Ocampo,

Llopis

et al. 2023

Semin Musculoskelet Radiol

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Sprains are the most frequent injuries of the ankle, especially in sports. Up to 85% of cases affect the lateral ligament complex. Multi-ligament injuries with associated lesions of the external complex, deltoid, syndesmosis, and sinus tarsi ligaments are also common. Most ankle sprains respond to conservative treatment. However, up to 20 to 30% of patients can develop chronic ankle pain and instability.New concepts have been recently developed, based on arthroscopic advances, such as microinstability and rotatory ankle instability. These entities could be precursors of mechanical ankle instability and at the origin of frequently associated ankle injuries, such as peroneus tendon lesions, impingement syndromes, or osteochondral lesions.Imaging methods, especially magnetic resonance (MR) imaging and MR arthrography, are key in precisely diagnosing ligament lesions and associated injuries, facilitating an adequate therapeutic approach.

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Section: Lesions and Patterns Of Injuriesmentioning

confidence: 99%

“…7, 8 and 9). 46,47 The distension of the capsular recesses achieved in ankle MR arthrography allows greater diagnostic precision of the lesions of the lateral ligamentous complex. 48 The diagnosis of ankle microinstability, with a lesion limited to the upper fascicle of the ATFL, is challenging (►Fig.…”

Section: Lesions and Patterns Of Injuriesmentioning

confidence: 99%

Ankle Instability Update

Cerezal,

Ocampo,

Llopis

et al. 2023

Semin Musculoskelet Radiol

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“…These tears can be graded in two types: type 1 with partial injury or wave shape injury and type 2 with complete injury. 34…”

Section: Rotational Ankle Instability (Rai)mentioning

confidence: 99%

Rotational ankle instability: A current concept review

Aicale

Maffulli

2023

J Orthop Surg (Hong Kong)

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Ankle sprains are extremely common. It is important to have a clear insight of the course of recovery after such injury to evaluate the effective strategies to guide management decisions, and understand the potential risk factors involved in the development of chronic problems and recurrent ankle sprains. When a prompt diagnosis is not formulated, ligament tears can remain untreated, and chronic ankle instability can result after acute lateral or medial ankle sprain. When the medial ligament complex (MLC), in particular the anterior fascicle of the deltoid ligament, is involved, rotational ankle instability (RAI) can develop. Generally, a tear of the anterior fibres of the MCL accompanied by anterior talofibular ligament (ATFL) insufficiency has been associated with RAI, while injury of the intermediate fibres of the MLC has been associated with medial ankle instability (MAI). Conservative management is the first line of treatment, with surgery reserved for special cases or if rehabilitation has failed. Regarding surgery, several options are available, including anatomic repair, anatomic reconstruction, and tenodesis procedures. Ankle arthroscopy is increasingly used to address ligament insufficiency and to identify and treat intra-articular pathologies. Repair of MLC tears by an arthroscopic all-inside procedure is effective in both MAI and RAI.

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“…2) The joint is sequentially inspected. The medial gutter assessment evaluates the medial collateral ligament (MCL) 21. Medial instability due to a proximal avulsion of the MCL is detected when the probe introduced under the malleolus can pass over the medial side.…”

Section: Surgical Techniquementioning

confidence: 99%

Endoscopic Approach to Ligament Repair and Reconstruction for Chronic Ankle Instability

Cordier

Nunes²

2022

Techniques in Foot &Amp; Ankle Surgery

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: It is well established that ankle arthroscopy may be used as an alternative to address chronic ankle instability (CAI). As this minimally invasive technique becomes popularized, an advanced anatomic understanding and new devices have been developed to address the ankle ligament pathologies. Within this context, fully arthroscopic and anatomic techniques were developed to repair and reconstruct the ankle ligaments. This article provides an update on the indications, diagnoses, and technical descriptions of the anatomic arthroscopic techniques used for chronic ankle instability. Level of Evidence: Diagnostic Level IV.

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Arthroscopic Assessment and Treatment of Medial Collateral Ligament Complex

Cited by 11 publications

References 26 publications

Ankle Instability Update

Ankle Instability Update

Rotational ankle instability: A current concept review

Endoscopic Approach to Ligament Repair and Reconstruction for Chronic Ankle Instability

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