Anterior impingement of the ankle treated by arthroscopic removal of bony spurs

Ogilvie-Harris, D.J.; Mahomed, Nizar N.; Demaziere, A.

doi:10.1302/0301-620x.75b3.8496216

Cited by 158 publications

(94 citation statements)

References 14 publications

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“…We agree that tilting should be included in the grading system. Anterior bony impingement is common in the ankles of active young people without joint space narrowing [35,38,45], and we also suspect ankle spurs indicate degenerative arthritis. However, the existing classifications do not reflect all observed cartilage changes or talar tilting.…”

Section: Introductionmentioning

confidence: 86%

Radiographic Predictability of Cartilage Damage in Medial Ankle Osteoarthritis

Moon¹,

Shim²,

Suh³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Radiographic grading has been used to assess and select between treatment options for ankle osteoarthritis. To use radiographic grading systems in clinical practice and scientific studies one must have reliable systems that predict the fate of the cartilage. Questions/purposes We therefore asked whether (1) radiographic grading of ankle osteoarthritis is reliable and (2) grading reflects cartilage damage observed during arthroscopy. We then (3) determined the sensitivity, specificity, and predictive values of the radiographic findings. Patients and MethodsWe examined 74 ankles with medial osteoarthritis and 24 with normal articular cartilage based on arthroscopy. Arthroscopic findings were graded according to the modified Outerbridge grades and all radiographs were graded using the modified KellgrenLawrence, Takakura et al., and van Dijk et al. grading systems. The reliability of each radiographic grading system was evaluated. We correlated the radiographic grades and severity of cartilage damage for each radiographic grading system. Sensitivity, specificity, and predictive values of spurs and joint space narrowing with or without talar tilting then were determined. Results The interobserver weighted kappa ranged from 0.58 to 0.89 and the intraobserver weighted kappa from 0.51 to 0. The positive predictive value of cartilage damage increased from 77% for medial joint space narrowing regardless of the presence of talar tilting to 98% for medial joint space narrowing with talar tilting. Conclusions Our observations suggest the inclusion of talar tilting in grading schemes enhances the assessment of cartilage damage. Level of Evidence Level II, diagnostic study. See the Guidelines for Authors for a complete description of level of evidence.

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Section: Introductionmentioning

confidence: 86%

Radiographic Predictability of Cartilage Damage in Medial Ankle Osteoarthritis

Moon¹,

Shim²,

Suh³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…304 Secondary clinical outcome measures were the Berndt and Harty outcome question, 49,190 American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, 217 Short Form-36 (SF-36), 7 and resumption of work and sports.…”

Section: Clinical Outcome Measuresmentioning

confidence: 99%

“…304 Each item is rated as excellent, good, fair, or poor. The lowest grade among the items determines the final score.…”

Section: Clinical Outcome Measuresmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of osteochondral defects of the talus

Bergen

Leeuw

Dijk

2008

Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Mo

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“…[11][12][13] Of the two, arthroscopic debridement has gained popularity and is considered gold standard treatment for virtually all causes of impingement syndrome as it is minimally invasive and associated with low morbidity and faster recovery times. 14,15 The aim of our study was to evaluate the outcome of arthroscopic debridement in cases of anterior ankle impingement and to compare results between soft tissue and osseous types of anterior ankle impingement.…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of arthroscopic debridement in osseous versus soft tissue anterior ankle impingement

Devgan

Rohilla

Tanwar

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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Methods: Our study included 14 patients diagnosed as cases of anterior ankle impingement on the basis of clinical and radiological examination. They were segregated into two groups (on the basis of cause of impingement (osseous versus soft tissue)). Both groups were treated by arthroscopic debridement. Primary outcome was patient satisfaction, which was assessed by Likert scale and clinical outcomes were measured using AOFAS ankle-hind foot scale, VAS score, range of motion and time to return to pre-injury activity level in both groups.Results: Mean follow-up was of 15 months where eleven patients reported an excellent recovery, two patients had good recovery while one patient reported poor outcome. Mean AOFAS ankle hind foot scale improved from 50.5 preoperatively to 85.71 postoperatively (statistically significant; p value -0.0001). Mean Likert scale value post-operative was 4.21.VAS score showed significant improvement in patients of both the groups. Range of motion was slightly better in soft tissue impingement type with a relatively shorter time to return to sports or preinjury activity level as compared to osseous impingement group. Conclusions:The patients in both the groups had comparable outcomes with no statistically significant difference with regard to patient satisfaction and clinical outcome.

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Anterior impingement of the ankle treated by arthroscopic removal of bony spurs

Cited by 158 publications

References 14 publications

Radiographic Predictability of Cartilage Damage in Medial Ankle Osteoarthritis

Radiographic Predictability of Cartilage Damage in Medial Ankle Osteoarthritis

Treatment of osteochondral defects of the talus

Comparative analysis of arthroscopic debridement in osseous versus soft tissue anterior ankle impingement

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