Arthroscopic management of post traumatic anterolateral soft tissue ankle impingement

Abstract

Was to evaluate the results of arthroscopic management of anterolateral soft tissue anke impingement (ALSTAI) secondary to ankle inversion injuries. Patients and Methods: We treated 27 cases of ALSTAI by arthroscopic debridement between Jan 2015 and Dec 2016. We excluded cases with associated chondral lesions, mechanical instability. Bony impingement and arthritic ankles. Results: After a mean follow-up period of 15 months (12-240, 24 cases (88%) had complete pain relief while 3 cases (12%) still had pain with strenuous activities. The AOFAS score improved from 42 pre operative to 88 post-operative (P value= 0.0001). According to Meislen criteria, 14 cases were excellent (51.8%), 10 cases (37.1%) were good while three cases (11.1%) were fair, but no poor results. There was no major postoperative complications in any patient. The reported complications were minor and few; temporary parathesia of the dorsum of the foot in two and peri-portal superficial infection in two, that resolved with antibiotics and local care. Conclusion:Arthroscopic debridement of the ankle proved to be effective and safe in management of anterolateral soft tissue ankle impingement subsequent to ankle inversion injuries.

Ankle Arthroscopy in Post Traumatic Ankle Pain

“…Similar to our results, the study done in 2018, (8) found that there were no major postoperative complications in any patient.…”

“…Additionally, the current study assessed the studied cases according to site of pathology, showing that majority of cases 40% had Anterolateral pathology, 16% were diffuse ante and post, 12% were Anteromedial and only 32% had diffuse ante pathology. In agreement with our study, it was found that the ankle was approached through standard anteromedial and anterolateral portals, taking care to protect the neurovascular structures (8).…”