Skip to main content
Log in

Das steife Sprunggelenk

Arthroskopische und offene Behandlungsmaßnahmen

The stiff ankle

Arthroscopic and open treatment options

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Die Sprunggelenksteife führt zu einer erheblichen Einschränkung der Lebensqualität und des Gangbilds. In der überwiegenden Zahl der Fälle entsteht dieses Krankheitsbild am Sprunggelenk infolge sekundärer Ursachen, die in intraartikuläre und extraartikuläre sowie jeweils in weichteilbedingte und ossäre Veränderungen differenziert werden. Im vorliegenden Beitrag werden die Ätiologie der Sprunggelenksteife und deren Behandlungsmöglichkeiten dargestellt, wobei der Schwerpunkt auf den arthroskopischen Verfahren liegt.

Abstract

Stiffness of the ankle joint can lead to severe loss of quality of life and impairment of gait. In most cases the loss of motion results from secondary intraarticular and extraarticular pathologies which are differentiated into soft tissue and bony pathologies. This article describes the etiology and treatment of ankle stiffness with the main focus on arthroscopic procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Ahn JH, Lee SK, Kim KJ, Kim YI, Choy WS (2009) Subtalar arthroscopic precedures for the treatment of subtalar pathologic conditions: 115 consecutive cases. Orthopedics 32:891–893

    Article  PubMed  Google Scholar 

  2. Arnold H (2011) Posttraumatic impingement syndrome of the ankle – indication and results of arthroscopic therapy. Foot Ankle Surg 17:85–88

    Article  PubMed  Google Scholar 

  3. Bauer T, Breda R, Hardy P (2010) Anterior ankle bony impingement with joint motion loss: the arthroscopic resection option. Orthop Traumatol Surg Res 96:462–468

    Article  CAS  PubMed  Google Scholar 

  4. Bonasia DE, Phisitkul P, Amendola A (2015) Endoscopic coalition resection. Foot Ankle Clin 20:81–91

    Article  PubMed  Google Scholar 

  5. Carreira D, Ballard A (2015) Achilles tendoscopy. Foot Ankle Clin 20:27–40

    Article  PubMed  Google Scholar 

  6. Donnenwerth MP, Roukis TS (2013) The incidence of complications after posterior hindfoot arthroscopy. Arthroscopy 29:2049–2054

    Article  PubMed  Google Scholar 

  7. El Rassi G, Riddle EC, Kumar SJ (2005) Arthrofibrosis involving the middle facet of the talocalcaneal joint in children and adolescents. J Bone Joint Surg Am 87:2227–2231

    Article  PubMed  Google Scholar 

  8. Galla M (2014) Rückfußarthroskopie als Revisionseingriff. Arthroskopie 27(1):52–54

    Article  Google Scholar 

  9. Galla M (2016) Arthroskopie des ventralen oberen Sprunggelenks. In: Galla M, Walther M (Hrsg) Arthroskopie an Sprunggelenk und Fuß. Schattauer, Stuttgart, S 81–112

    Google Scholar 

  10. Galla M (2016) Rückfußarthroskopie. In: Galla M, Walther M (Hrsg) Arthroskopie an Sprunggelenk. Schattauer, Stuttgart, S 113–138

    Google Scholar 

  11. Gollwitzer H, Burgkart R, Diehl P, Gradinger R, Bühren V (2006) Therapie der Arthrofibrose nach Kniegelenkendoprothetik. Orthopäde 35:143–152

    Article  CAS  PubMed  Google Scholar 

  12. Gusman DN, Dockery GL (1994) Adhesive lesions of the talocrural joint. Clin Podiatr Med Surg 11:385–394

    CAS  PubMed  Google Scholar 

  13. Kim HK, Jeon JY, Dong Q, Kim NH, Park YW (2013) Ankle arthroscopy in an hanging position combined with hindfoot endoscopy for the treatment of concurrent anterior and posterior impingement syndrome of the ankle. J Foot Ankle Surg 52:704–709

    Article  PubMed  Google Scholar 

  14. Knörr J, Soldado F, Menendez ME, Domenech P, Sanchez M, Sales de Gauzy J (2015) Arthroscopic talocalcaneal coalition resection in children. Arthroscopy 31:2417–2423

    Article  PubMed  Google Scholar 

  15. Krenn V, Morawietz L, Kinne BGRRW, Müeller-Ladner U, Muller B, Haupl T (2006) Synovitis score: discrimination between chronic low-grade and high-grade synovitis. Histopathology 49:358–364

    Article  CAS  PubMed  Google Scholar 

  16. Kriegelstein S, Altenberger S, Röser A, Walther M (2016) Tendoskopie der Achillessehne. Indikationen, Technik und Ergebnisse. Unfallchirurg 119:120–124

    Article  CAS  PubMed  Google Scholar 

  17. Linklater JM, Fessa CK (2012) Imaging finding in arthrofibrosis of the foot and ankle. Semin Musculoskelet Radiol 16:185–191

    Article  PubMed  Google Scholar 

  18. Lui TH (2007) Arthroscopy and endoscopy of the foot and ankle: indications for new techniques. Arthroscopy 12:889–902

    Article  Google Scholar 

  19. Lui TH (2014) Endoscopic adhesiolysis of the flexor hallucis longus muscle. Foot Ankle Spec 7:492–494

    Article  CAS  PubMed  Google Scholar 

  20. Maquirriain J (2013) Surgical treatment of chronic Achilles tendinopathy: long-term results of endoscopic technique. J Foot Ankle Surg 52:451–455

    Article  PubMed  Google Scholar 

  21. Miyamoto W, Takao M, Matsushita T (2015) Hindfoot endoscopy for posterior ankle impingement syndrome and flexor hallucis longus disorders. Foot Ankle Clin 20:139–147

    Article  PubMed  Google Scholar 

  22. Miyamoto W, Takao M, Matsui K, Matsashita T (2015) Simultaneous ankle arthroscopy and hindfoot endoscopy for combined anterior and posterior ankle impingement syndrome in professional athletes. J Orthop Sci (Epub ahead of print)

  23. Murawski CD, Kennedy JG (2010) Anteromedial impingement in the ankle joint: outcomes following arthroscopy. Am J Sports Med 38:2017–2024

    Article  PubMed  Google Scholar 

  24. Nickisch F, Barg A, Saltzman CL, Beals TC, Bonasia DE, Phisitkul P, Femino JE, Amendola A (2012) Postoperative complications of posterior ankle and hindfoot arthroscopy. J Bone Joint Surg Am 94:439–446

    Article  PubMed  Google Scholar 

  25. Palldino SJ, Chan R (1987) Adhesive capsulitis of the ankle. J Foot Surg 26:484–492

    Google Scholar 

  26. Pearce CJ, Carmichael J, Calder JD (2012) Achilles tendinoscopy and plantaris tendon release and division in the treatment of non-insertional achilles tendinopathy. Foot Ankle Surg 29:124–127

    Article  Google Scholar 

  27. Rasmussen S, Jensen HC (2002) Arthroscopic treatment of impingement of the ankle reduces pain and enhances function. Scand J Med Sci Sports 12:69–72

    Article  CAS  PubMed  Google Scholar 

  28. Reynolds CA, Cummings GS, Andrew PD, Tillman LJ (1966) The effect of nontraumatic immobilization on ankle dorsiflexion stiffness in rats. J Orthop Sports Phys Ther 23:27–33

    Article  Google Scholar 

  29. Santi MD, Botte MJ (1995) Volkmann’s ischemic contracture of the foot and ankle: evaluation and treatment of established deformity. Foot Ankle Int 16:368–377

    Article  CAS  PubMed  Google Scholar 

  30. Simonson DC, Roukis TS (2014) Safety of ankle arthroscopy for the treatment of anterolateral soft-tissue impingement. Arthroscopy 30:256–259

    Article  PubMed  Google Scholar 

  31. Steenstra F, van Dijk CN (2006) Achilles tendoscopy. Foot Ankle Clin 11:429–438

    Article  PubMed  Google Scholar 

  32. Tol JL, van Dijk CN (2004) Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int 25:382–386

    PubMed  Google Scholar 

  33. Utsugi K, Sakai H, Hiraoka H, Yashiki M, Mogi H (2007) Intra-articular fibrous tissue formation following ankle fractures: the significance of arthroscopic debridement of fibrous tissue. Arthroscopy 23:89–93

    Article  PubMed  Google Scholar 

  34. van Dijk CN, Wessel RN, Tol JL, Maas M (2002) Oblique radiograph for the detection of bone spurs in anterior ankle impingement. Skeletal Radiol 31:214–221

    Article  PubMed  Google Scholar 

  35. van Dijk CN, De Leeuw PAJ, Sterkenburg MN van (2010) Tendoscopy. In: Amendola A, Stone JW (Hrsg) AANA advanced arthroscopy: the foot and ankle. Saunders/Elsevier, Philadelphia, S 146–156

    Google Scholar 

  36. Walsh SJ, Twaddle BC, Rosenfeldt MP, Boyle MJ (2014) Arthroscopic treatment of anterior ankle impingement: a prospective study of 46 patients with 5‑year follow-up. Am J Sports Med 42:2722–2726

    Article  PubMed  Google Scholar 

  37. Wang X, Zhao Z, Lui X, Zhang J, Sehn J (2014) Combined posterior and anterior ankle arthroscopy for posterior and anterior ankle impingement syndrome in a switching position. Foot Ankle Int 35:829–833

    Article  PubMed  Google Scholar 

  38. Zeichen J, Griensven M van, Lobenhoffer P, Bosch U (2000) Expression von Typ IV Kollagen bei der Arthrofibrose. Eine immunohistochemische Studie. Unfallchirurg 103:640–644

    Article  CAS  PubMed  Google Scholar 

  39. Zeichen J, Haeder L, Jagodzinski M, Lobenhoffer P, Bosch U, Brand J (2008) Lokalisation von TGF-β und PDGF und deren Bedeutung für die Pathogenese der Arthrofibrose. Unfallchirurg 111:79–84

    Article  CAS  PubMed  Google Scholar 

  40. Zengerink M, van Dijk CN (2012) Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc 20:1420–1431

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mellany Galla.

Ethics declarations

Interessenkonflikt

M. Galla gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von dem Autor durchgeführten Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Galla, M. Das steife Sprunggelenk. Arthroskopie 29, 194–200 (2016). https://doi.org/10.1007/s00142-016-0080-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00142-016-0080-3

Schlüsselwörter

Keywords

Navigation