Summary
Persistent pain and swelling in the anterior part of the upper ankle are encountered very frequently in sports traumatology. Classically, in the patient with a long history of typical anterior ankle pain there is no instability, but pinching effects, a sense of impingement, blocking and a feeling of unsteadiness combined with a certain restriction of movement due to the pathology. By analogy with the anatomical structures, various pathologic changes can lead to the classic clinical symptoms: adhesions, cicatrices, meniscoid-type lesions, osteophytes with synovitis, folds, fibrotic subcutaneous fatty tissue, free arthroliths, osteochondral lesions and arthrotic changes. When long-term conservative therapy has not provided a cure for the clinical syndrome surgical intervention becomes necessary. Arthroscopic interventions were carried out in a total of 21 patients, with follow-up times between 6 and 36 months. About two-thirds of all the patients showed good or very good results, while in one-third the results were unsatisfactory, mainly because of degenerative changes. An precise diagnosis is essential, but the significance of a pathologic change as the cause of symptoms can be problematical.
Similar content being viewed by others
References
Andrews JR (1985) Arthroscopy of the ankle: technique and normal anatomy. Foot Ankle 6:29–33
Biedert R (1989) Osteochondrale Läsionen des Talus. Unfallchirurg 92:199–205
Bee S (1986) Arthroscopy of the ankle joint. Arch Orthop Trauma Surg 105:285–286
Canale T, Belding R (1980) Osteochondral lesions of the talus. J Bone Joint Surg [Am] 62:97–102
Fallat LM (1987) Accuracy of diagnostic arthroscopy of the ankle joint. J Foot Surg 26:26–32
Hempfling H (1987) Farbatlas der Arthroskopie grosser Gelenke. Fischer, Stuttgart
Johnson LL (1981) In: Diagnostic and surgical arthroscopy: the knee and other joints. Mosby, St. Louis, pp 412–419
Martin DF (1989) Operative ankle arthroscopy; long-term follow up. Am J Sports Med 17:16–23
Mital MA, Karlin LI (1980) Diagnostic arthroscopy in sports injuries. Orthop Clin North Am 11:771–785
Parisien JS (1985) Diagnostic and operative arthroscopy of the ankle. Technique and indications. Bull Hosp Jt Dis Orthop Inst 45:38–47
Parisien JS (1985) Operative arthroscopy of the ankle. Three years' experience. Clin Orthop Rel Res 199:46–53
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Biedert, R. Anterior ankle pain in sports medicine: Aetiology and indications for arthroscopy. Arch Orthop Trauma Surg 110, 293–297 (1991). https://doi.org/10.1007/BF00443461
Issue Date:
DOI: https://doi.org/10.1007/BF00443461