Arthroscopic Evaluation of Impingement and Osteochondral Lesions in Chronic Lateral Ankle Instability

Odak, Saurabh; Ahluwalia, Raju; Shivarathre, Deepak G; Mahmood, Atif; Blucher, Nicola; Hennessy, Michael S.; Platt, Simon

doi:10.1177/1071100715585525

Cited by 57 publications

(28 citation statements)

References 18 publications

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“…Osteochondral injury to the anterolateral talar dome may be present, reported to occur in 17% of cases. 19 Important differential considerations that may present similarly include: sinus tarsi syndrome, peroneal tendon subluxation or injury, tarsal coalition and osteoarthrosis. 20…”

Section: Pathogenesis Of Anterolateral Ankle Impingementmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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Ankle impingement syndromes encompass a broad spectrum of post-traumatic and chronic degenerative changes that present with pain on specific movements about the ankle joint. Both amateur and professional athletes are disproportionately affected by these conditions, and while conservative measures can potentially treat an impingement syndrome, definitive therapy is often alleviated surgically. Imaging (including conventional radiography, ultrasound, CT and MRI) plays an invaluable role in the diagnosis and pre-surgical work-up. An anatomically based classification system is useful in these syndromes, as the aetiology, sites of pathology and preferred treatment methods are similarly based on anatomic locations about the ankle. This review focuses on the anatomic locations, pathophysiology, imaging considerations and brief discussion of therapies for each of the major anatomic ankle impingement syndromes.

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Section: Pathogenesis Of Anterolateral Ankle Impingementmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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“…The exact mechanism of both pain and instability is not fully understood. Treatment is ideally operative depending on the nature, size, and location of the lesions[ 19 ] Peroneal tendinopathy [ Figure 3 ] is chronic inflammation of the peroneal tendon resulting in weakness of the active ankle stabilizers. This happens when a person performs a repetitive activity that annoys the tendon over a long period.…”

Section: Presentationmentioning

confidence: 99%

“…The exact mechanism of both pain and instability is not fully understood. Treatment is ideally operative depending on the nature, size, and location of the lesions[ 19 ]…”

Section: Presentationmentioning

confidence: 99%

Chronic ankle instability: Current perspectives

Al-Mohrej

Alkenani

2016

Avicenna J Med

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Ankle sprain is reported to be among the most common recurrent injuries. About 20% of acute ankle sprain patients develop chronic ankle instability. The failure of functional rehabilitation after acute ankle sprain leads to the development of chronic ankle instability. Differentiation between functional and anatomical ankle instability is very essential to guide the proper treatment. Stability testing by varus stress test and anterior drawer test should be carried out. Subtalar instability is an important pathology that is commonly by passed during the assessment of chronic ankle instability. Unlike acute ankle sprain, chronic ankle instability might require surgical intervention. The surgical and conservative management options can be very much developed by in-depth knowledge of the ankle anatomy, biomechanics, and pathology. Anatomical repair, augmentation by tendon, or both are the basic methods of surgical intervention. Arthroscopy is becoming more popular in the management of chronic ankle instability.

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“…Multiple studies have examined the prevalence of associated anterior impingement lesions at the time of arthroscopy in patients undergoing stabilization procedures for lateral ankle instability. Soft tissue lesions, such as synovitis in the anterior compartment or anterior lateral gutter, have been observed with high frequency (63–100 %), while anterior tibial osteophytes have often been found consistently (12–26.4 %) [ 20 – 22 ]. In one study, patients undergoing a Brostrom procedure had 3.37 times the incidence of bone spurs than matched asymptomatic controls [ 23 ].…”

Section: Main Textmentioning

confidence: 99%