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Arthroscopic Management of Ankle Disorders

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Advanced Arthroscopy

Abstract

This chapter discusses four common findings in the ankle joint: soft tissue and osseous impingement lesions, osteochondritis dissecans, ankle instability, and syndesmosis injuries. The history, presentation, indications, and techniques for arthroscopic treatment of each condition are covered.

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References

  1. Ewing JW. Arthroscopic management of transchondral talar dome fractures (osteochondritis dissecans) and anterior impingement lesions of the ankle joint. Clin Sports Med 1991; 10: 677–687.

    PubMed  CAS  Google Scholar 

  2. Ferkel RD, Karzel RP, Del Pizzo W, et al. Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med 1991; 19: 440–146.

    Article  PubMed  CAS  Google Scholar 

  3. Martin DF, Curl WW, Baker CL. Arthroscopic treatment of chronic synovitis of the ankle. Arthroscopy 1989; 5: 110–114.

    Article  PubMed  CAS  Google Scholar 

  4. Stone JW, Guhl JF. Meniscoid lesions of the ankle. Clin Sports Med 1991; 10: 661–676.

    PubMed  CAS  Google Scholar 

  5. Cerulli G, Caraffa A, Buommpadre V, et al. Operative arthroscopy of the ankle. Arthroscopy 1992; 8: 537–540.

    Article  PubMed  CAS  Google Scholar 

  6. Thein R, Eichenblat M. Treatment of sports related synovitis of the ankle. Am J Sports Med 1992; 20: 496–498.

    Article  PubMed  CAS  Google Scholar 

  7. Wolin I, Glassman F, Sideman S, et al. Internal derangement of talofibular component of the ankle. Surg Gynecol Obstet 1950; 91: 193–200.

    PubMed  CAS  Google Scholar 

  8. Ferkel RD, Fischer SP. Progress in ankle arthroscopy. Clin Orthop 1989; 240: 210–220.

    PubMed  Google Scholar 

  9. Bassett FH III, Gates HD, Billys JB, et al. Talar impingement by the anterior-inferior tibiofibular ligament: a cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg 1990; 72A: 55–59.

    PubMed  Google Scholar 

  10. McCarroll JR, Schrader JW, Shelbourne KD, et al. Meniscoid lesions of the ankle in soccer players. Am J Sports Med 1987; 15: 255–257.

    Article  PubMed  CAS  Google Scholar 

  11. Scranton PE Jr, McDermott JE. Anterior tibiotalar spurs: a comparison of open vs. arthroscopic debridement. Foot Ankle 1992; 13: 125–129.

    PubMed  Google Scholar 

  12. Demaziere A, Ogilvie-Harris DJ. Operative arthroscopy of the ankle: 107 cases. Rev Rheum Mal Osteoartic 1991; 58: 93–97.

    CAS  Google Scholar 

  13. Andrews JR, Previte WJ, Carson WG. Arthroscopy of the ankle: technique and normal anatomy. Foot Ankle 1985; 6: 29.

    PubMed  CAS  Google Scholar 

  14. Stone JW, Guhl JF. Ankle arthroscopy. In: Pfeffer GB, Frey CC, eds. Current practice in foot and ankle surgery. New York: McGraw-Hill, 1993: 1–29.

    Google Scholar 

  15. DeSmet AA, Fisher DR, Burnstein MI, et al. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. Am J Radiol 1990; 154: 555–558.

    CAS  Google Scholar 

  16. Barber FA, Click J, Britt BT. Complications of ankle arthros-copy (review). Foot Ankle 1990; 10: 263–266.

    PubMed  CAS  Google Scholar 

  17. Small NC. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy 1988; 4: 215–221.

    Article  PubMed  CAS  Google Scholar 

  18. Berndt AL, Harty M. Transchondral fracture of the talus. J Bone Joint Surg 1959; 41A: 988–1029.

    PubMed  Google Scholar 

  19. Taga I, Shino K, Inoue M, Nakataa K, Maeda A. Articular cartilage lesions in ankles with lateral ligament injury. Am J Sports Med 1993; 21: 120–126.

    Article  PubMed  CAS  Google Scholar 

  20. Pritsch M, Horoshovski H, Farine I. Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg 1986; 68A: 862–865.

    PubMed  CAS  Google Scholar 

  21. Loomer R, Fisher C, Lloyd-Smith R, Sisler J, Cooney T. Os-teochondral lesions of the talus. Am J Sports Med 1993; 21: 13–19.

    Article  PubMed  CAS  Google Scholar 

  22. Flick AB, Gould N. Osteochondritis dissecans of the talus: review of the literature and new surgical approach for medial dome lesions. Foot Ankle 1985; 5: 165–185.

    PubMed  CAS  Google Scholar 

  23. Canale ST, Belding RH. Osteochondral lesions of the talus. J Bone Joint Surg 1980; 62A: 97–102.

    PubMed  CAS  Google Scholar 

  24. DeSmet AA, Ilahi OA, Graf BK. Reassessment of the MR criteria for stability of osteochondritis dissecans in the knee and ankle. Skeletal Radiol 1996; 25: 159–163.

    Article  CAS  Google Scholar 

  25. Bachmann G, Jurgensen I, Siaplaouras J. The staging of os-teochondritis dissecans in the knee and ankle joints with MR tomography. A comparison with conventional radiology and arthroscopy. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfagr 1995; 163: 38–44.

    Article  CAS  Google Scholar 

  26. Alexander AH, Barrack RL. Arthroscopic technique in talar dome fractures. Surg Rounds Orthop 1990; 27–35.

    Google Scholar 

  27. Ewing JW. Arthroscopic management of transchondral talar dome fractures and anterior impingement lesions of the ankle joint. Clin Sports Med 1991; 10: 667–687.

    Google Scholar 

  28. Drez D, Guhl JF, Gollehan DL. Ankle arthroscopy-technique and indications. Foot Ankle 1981; 2: 138–143.

    PubMed  Google Scholar 

  29. Guhl JF. New techniques for arthroscopic surgery of the ankle: preliminary report. Orthopaedics 1986; 9: 261–269.

    CAS  Google Scholar 

  30. Baker CL, Andrews JR, Ryan JB. Arthroscopic treatment of transchondral talar dome fractures. Arthroscopy 1986; 9: 261–269.

    Google Scholar 

  31. Frank A, Cohen P, Beaufils P, Lamare J. Arthroscopic treatment of osteochondral lesions of the talar dome. Arthroscopy 1989; 5: 57–61.

    Article  PubMed  CAS  Google Scholar 

  32. Brostrom L. Sprained ankles. Acta Chir Scand 1964; 128: 483–495.

    Google Scholar 

  33. Johannsen A. Radological diagnosis of lateral ligament lesions of the ankle. Acta Orthop Scand 1978; 49: 295–301.

    Article  PubMed  CAS  Google Scholar 

  34. Seligson D, Gassman J, Pope M. Ankle instability: evaluation of the lateral ligaments. Am J Sports Med 1980; 8: 39–42.

    Article  PubMed  CAS  Google Scholar 

  35. Schafer D, Hentermann B. Arthroscopic assessment of the chronic unstable joint. Knee Surg Sports Traumatol Arthrosc 1996; 4: 48–52.

    Article  PubMed  CAS  Google Scholar 

  36. Kibler WB. Arthroscopic findings in ankle ligament reconstruction. Clin Sports Med 1996; 15: 799–804.

    PubMed  CAS  Google Scholar 

  37. Lundeen RO. Ankle arthroscopy in the adolescent patient. J Foot Surg 1990; 29: 510–515.

    PubMed  CAS  Google Scholar 

  38. Taga I, Shino K, Inoue M. Articular cartilage lesions in ankles with lateral ligament injury. Am J Sports Med 1993; 21: 120–126.

    Article  PubMed  CAS  Google Scholar 

  39. Cooke. Combined meeting, Foot and Ankle Society. Dublin, Ireland, 1995.

    Google Scholar 

  40. Hawkins RB. Arthroscopic stapling repair for chronic lateral instability. Clin Podiatr Med Surg 1987; 4: 875–883.

    PubMed  CAS  Google Scholar 

  41. Stiehl JB. Complex ankle fracture dislocations with syndesmotic diastasis. Orthop Rev 1990; 14: 499–507.

    Google Scholar 

  42. Taylor DC, Englehardt DL, Bassett FH. Syndesmosis sprains of the ankle. Am J Sports Med 1992; 20: 146–150.

    Article  PubMed  CAS  Google Scholar 

  43. Fritschy D. An unusual ankle injury in top skiers. Am J Sports Med 1989; 17: 282–285.

    Article  PubMed  CAS  Google Scholar 

  44. Hopkinson WJ, St. Pierre P, Ryan JB, Wheeler JH. Syndesmosis sprains of the ankle. Foot Ankle 1990;10:325–330.

    Google Scholar 

  45. Cedell C. Ankle lesions. Acta Orthop Scand 1975; 46: 425–445.

    PubMed  CAS  Google Scholar 

  46. Edwards GS, DeLee JC. Ankle diastasis without fracture. Foot Ankle 1984; 4: 305–312.

    PubMed  Google Scholar 

  47. Marymont JV, Lynch MA, Henning CE. Acute ligamentous diastasis of the ankle without fracture. Am J Sports Med 1986; 14: 407–409.

    Article  PubMed  CAS  Google Scholar 

  48. Ogilvie-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy 1994; 10: 561–568.

    Article  PubMed  CAS  Google Scholar 

  49. Katznelson A, Lin E, Militiano J. Ruptures of the ligaments about the tibiofibular syndesmosis. Injury 1983; 15: 170–172.

    Article  PubMed  CAS  Google Scholar 

  50. Lauge-Hanson N. Fractures of ankle II: combined experimental-surgical and experimental-Roentgenographic investigations. ACH Surg 1950; 60: 957–985.

    Article  Google Scholar 

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© 2001 Springer-Verlag New York, Inc.

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Tasto, J.P., Laimins, P.D. (2001). Arthroscopic Management of Ankle Disorders. In: Chow, J.C.Y. (eds) Advanced Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21541-9_66

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  • DOI: https://doi.org/10.1007/978-0-387-21541-9_66

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-9513-3

  • Online ISBN: 978-0-387-21541-9

  • eBook Packages: Springer Book Archive

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