Chondral Injuries of the Ankle with Recurrent Lateral Instability: An Arthroscopic Study

Sugimoto, Kazuya; Takakura, Yoshinori; Okahashi, Koujiro; Samoto, Norihiro; Kawate, Kenji; Iwai, Makoto

doi:10.2106/jbjs.g.00087

Cited by 111 publications

(96 citation statements)

References 13 publications

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“…Arthroscopy is commonly performed at the time of lateral ligament repair to assess for intra-articular pathology given that up to 92% of patients have intra-articular lesions [67,15]. However, in the patient without pain and a negative MRI, arthroscopy may not be necessary [29].…”

Section: Arthroscopic Ligament Repairmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

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Section: Arthroscopic Ligament Repairmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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show abstract

“…62,233 Residual symptoms have also been associated with chondral damage. 39,120,234,236,255 Because of this chondral damage, it has been hypothesized that repetitive ankle sprains may lead to the early onset of posttraumatic ankle arthritis. 100,234,246 The factors that determine prognosis following an ankle sprain have largely been undefined.…”

Section: Clinical Coursementioning

confidence: 99%

“…39,120,234,236,255 Because of this chondral damage, it has been hypothesized that repetitive ankle sprains may lead to the early onset of posttraumatic ankle arthritis. 100,234,246 The factors that determine prognosis following an ankle sprain have largely been undefined. Only 1 study was identified in a systematic review that investigated prognostic factors in determining the clinical course after an acute lateral ankle sprain.…”

Section: Clinical Coursementioning

confidence: 99%

Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains

Martin

Davenport²,

Paulseth

et al. 2013

J Orthop Sports Phys Ther

176

144

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“…Radiographic investigations, such as, MRIs can help to provide information about the cartilage of the ankle joint. Despite the emerging role of three-dimensional imaging studies, ankle arthroscopy is considered the gold standard in determining the true extent of cartilage damage in the ankle joint [ 40 ].…”

Section: Arthroscopic Debridement/osteophyte Resectionmentioning

confidence: 99%