Endoscopic Management of Calcaneofibular Impingement and Posterior Ankle Impingement Syndrome Caused by Malunion of Joint Depressed–Type Calcaneal Fracture

Abstract

Identification of the correct source of symptoms is the key in formulating the correct treatment plan for heel pain after calcaneal malunion. Calcaneofibular and posterior ankle impingements can occur due to malunion of a joint depressed–type calcaneal fracture. The purpose of this Technical Note is to report the technical details of posterior and lateral decompression through the posteromedial and posterolateral portals using posterior ankle endoscopy.

Endoscopic lateral decompression of calcaneo-fibular impingement: Case Report and literature Review

“…Lui TH and al. [ 9 ] and Chu KM and al. [ 10 ] described an endoscopic management of calcaneofibular impingement and posterior ankle impingement syndrome with posterior ankle endoscopy (the posteromedial portal (PMP) and posterolateral portal (PLP)).…”

Endoscopic Lateral Calcaneal Ostectomy and Peroneal Tendon Decompression With the Patient in the Prone Position as Management of Subfibular Impingement After Calcaneal Fracture

“…Decompression of both the bony impingement and soft-tissue impingement may have a better chance of yielding pain relief 1, 3. Early mobilization is important to prevent postoperative ankle and hindfoot stiffness 5 . Endoscopic procedures with small surgical incisions and less surgical trauma can facilitate early mobilization exercise.…”

“…We prefer the posterior approach rather than the lateral approach for lateral decompression. This is because the posterior approach allows larger instruments to be used and can deal with any concomitant posterior ankle impingement or a Haglund deformity due to calcaneal malunion 4, 5, 6, 8, 9…”

“…To avoid extensive soft-tissue dissection in open approaches, endoscopic lateral calcaneal ostectomy has been developed 2 . It can be performed via lateral2, 3, 4 or posterior5, 6 portals. The purpose of this Technical Note was to report the technical details of a 3-portal endoscopic approach using calcaneal ostectomy and peroneal tendon decompression with the patient in the prone position.…”

Endoscopic Screw Removal, Debridement of the Peroneal Tendons and Subtalar Joint and Lateral Calcaneal Ostectomy for Management of Chronic Heel Pain after Calcaneal Fracture

“…In contrast to this approach of addressing all the deformities, another feasible approach is concentrating on those aspects that are the most clinically pressing. 10 , 11 , 12 , 13 , 14 , 15 Different arthroscopic and endoscopic approaches focused on the patient’s symptoms and not the correction of the talocalcaneal relationship or restoration of the height or length of the calcaneus have been proposed to deal with late complications of calcaneal fractures. The purpose of this technical note is to describe the details of endoscopic screw removal, debridement of the peroneal tendons, and subtalar joint and lateral calcaneal ostectomy for management of chronic heel pain after calcaneal fracture.…”