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Ankle Instability (ICL 7)

  • Bernard Burgesson
  • Mark Glazebrook
  • Stephane Guillo
  • Kentaro Matsui
  • Mickey Dalmau Pastor
  • Fernando Peña
  • Masato Takao
  • Jordi Vega
  • ESSKA AFAS Ankle Instability Group
Chapter

Abstract

Repair and reconstruction of the lateral ankle ligaments arthroscopically assisted or as an entirely arthroscopic procedure are gaining popularity over open procedures, due to the fact that combine the repair technique with the inherent advantages of being a minimally invasive arthroscopic procedure [79, 85], while maintaining the strength and efficacy of open repair techniques [28].

Keywords

Minimally Invasive Surgery Sural Nerve Ankle Sprain Ankle Instability Superficial Peroneal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Acevedo J, Mangone P. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6.CrossRefGoogle Scholar
  2. 2.
    Acevedo JI, Mangone P. Arthroscopic Brostrom technique. Foot Ankle Int. 2015;36:465–73.CrossRefPubMedGoogle Scholar
  3. 3.
    Adkison DP, Bosse MJ, Gaccione DR, et al. Anatomical variations in the course of the superficial peroneal nerve. J Bone Joint Surg Am. 1991;73(1):112–4.PubMedGoogle Scholar
  4. 4.
    Balduini FC, Tetzlaff J. Historical perspectives on injuries of the ligaments of the ankle. Clin Sports Med. 1982;1:3–12.PubMedGoogle Scholar
  5. 5.
    Bassett III FH, Gates HS, Billys JB, Morris HB, Nikolaou PK. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am. 1990;72A:55–9.Google Scholar
  6. 6.
    Berlet GC, Saar WE, Ryan A, Lee TH. Thermal-assisted capsular modification for functional ankle instability. Foot Ankle Clin. 2002;7:567–76. ix.CrossRefPubMedGoogle Scholar
  7. 7.
    Boynton MD, Parisien JS, Guhl JF, et al. Chapter 5: setup, distraction, and instrumentation. In: Guhl JF, Parisien JS, Boynton MD, editors. Foot and ankle arthroscopy. 3rd ed. New York: Springer; 2004. p. 87–98.CrossRefGoogle Scholar
  8. 8.
    Broström L. Sprained ankles: V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand. 1966;132(5):537–50.PubMedGoogle Scholar
  9. 9.
    Burks RT, Morgan J. Anatomy of the lateral ankle ligaments. Am J Sports Med. 1994;22:72–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Cannon LB, Slater HK. The role of ankle arthroscopy and surgical approach in lateral ankle ligament repair. J Foot Ankle Surg. 2005;11:1–4.CrossRefGoogle Scholar
  11. 11.
    Caputo AM, Lee JY, Spritzer CE, Easley ME, DeOrio JK, Nunley JA, DeFrate LE. In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am J Sports Med. 2009;37(11):2241–8.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Cass JR, Settles H. Ankle instability: in vitro kinematics in response to axial load. Foot Ankle Int. 1994;15:134–40.CrossRefPubMedGoogle Scholar
  13. 13.
    Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30(3):213–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Cottom JM, Rigby RB. The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg. 2013;52(5):568–74.CrossRefPubMedGoogle Scholar
  15. 15.
    de Leeuw PA, Golanó P, Clavero JA, et al. Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc. 2010;18(5):594–600.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    de Leeuw PA, Golanó P, Sierevelt IN, et al. The course of the superficial peroneal nerve in relation to the ankle position: anatomical study with ankle arthroscopic implications. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):612–7.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    de Leeuw PA, van Dijk CN. Fixed distraction is not necessary for anterior ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2009;17:1399–400.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    de Vries JS, Krips R, Blankevoort L, Fievez AW, van Dijk CN. Arthroscopic capsular shrinkage for chronic ankle instability with thermal radiofrequency: prospective multicenter trial. Orthopedics. 2008;31:655.CrossRefPubMedGoogle Scholar
  19. 19.
    Delfaut EM, Demondion X, Boutry N, Cotten H, Mestdagh H, Cotten A. Multi-fasciculated anterior talo-fibular ligament: reassessment of normal findings. Eur Radiol. 2003;13:1836–42.CrossRefPubMedGoogle Scholar
  20. 20.
    DiGiovanni BF, Fraga CJ, Cohen BE, Shereff MJ. Associated injuries found in chronic lateral ankle instability. Foot Ankle Int. 2000;21(10):809–15.PubMedGoogle Scholar
  21. 21.
    Eid EM, Hegazy AM. Anatomical variations of the human sural nerve and its role in clinical and surgical procedures. Clin Anat. 2011;24(2):237–45.CrossRefPubMedGoogle Scholar
  22. 22.
    Espinosa N, Smerek J, Kadakia AR, Myerson MS. Operative management of ankle instability: reconstruction with open and percutaneous methods. Foot Ankle Clin. 2006;11:547–65.CrossRefPubMedGoogle Scholar
  23. 23.
    Ferkel RD, Chams RN. Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int. 2007;28(1):24–31.CrossRefPubMedGoogle Scholar
  24. 24.
    Ferran NA, Maffulli N. Epidemiology of sprains of the lateral ankle ligament complex. Foot Ankle Clin N Am. 2006;11:659–62.CrossRefGoogle Scholar
  25. 25.
    Ferran NA, Oliva F, Maffulli N. Ankle instability. Sports Med Arthrosc. 2009;17(2):139–45.CrossRefPubMedGoogle Scholar
  26. 26.
    Garrick JG. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med. 1977;5(6):241–2.CrossRefPubMedGoogle Scholar
  27. 27.
    Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. 1998;19(19):653–60.CrossRefPubMedGoogle Scholar
  28. 28.
    Giza E, Shin EC, Wong SE, et al. Arthroscopic suture anchor repair of the lateral ligament ankle complex: a cadaveric study. Am J Sports Med. 2013;41(11):2567–72.CrossRefPubMedGoogle Scholar
  29. 29.
    Golanó P, Mariani PP, Rodríguez-Niedenfuhr M, et al. Arthroscopic anatomy of the posterior ankle ligaments. Arthroscopy. 2002;18:353–8.CrossRefPubMedGoogle Scholar
  30. 30.
    Golanó P, Vega J, Perez-Carro L, et al. Ankle anatomy for the arthroscopist. Part I: the portals. Foot Ankle Clin. 2006;11:253–73.CrossRefPubMedGoogle Scholar
  31. 31.
    Golanó P, Vega J, Pérez-Carro L, et al. Ankle anatomy for the arthroscopist. Part II: role of the ankle ligaments in soft tissue impingement. Foot Ankle Clin. 2006;11(2):275–96.CrossRefPubMedGoogle Scholar
  32. 32.
    Guhl JF. New concepts (distraction) in ankle arthroscopy. Arthroscopy. 1988;4:160–7.CrossRefPubMedGoogle Scholar
  33. 33.
    Guillo S, Archbold P, Perera A, Bauer T, Sonnery-Cottet B. Arthroscopic anatomic reconstruction of the lateral ligaments of the ankle with gracilis autograft. Arthroscopy Tech. 2014;3:e593–8.CrossRefGoogle Scholar
  34. 34.
    Guillo S, Cordier G, Sonnery-Cottet B, Bauer T. Anatomical reconstruction of the anterior talofibular and calcaneofibular ligaments with an all-arthroscopic surgical technique. Orthop Traumatol Surg Res. 2014;100:S413–7.CrossRefPubMedGoogle Scholar
  35. 35.
    Hawkins RB. Arthroscopic stapling repair for chronic lateral instability. Clin Podiatr Med Surg. 1987;4:875–83.PubMedGoogle Scholar
  36. 36.
    Hayeri MR, Trudell DJ, Resnick D. Anterior ankle impingement and talar bony outgrowths: osteophyte or enthesophyte? Paleopathologic and cadaveric study with imaging correlation. AJR Am J Roentgenol. 2009;193(4):334–8.Google Scholar
  37. 37.
    Hintermann B. Biomechanics of the unstable ankle joint and clinical implications. Med Sci Sports Exerc. 1999;31 suppl 7:459–69.CrossRefGoogle Scholar
  38. 38.
    Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30(3):402–9.PubMedGoogle Scholar
  39. 39.
    Hua Y, Chen S, Li Y, Chen J, Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy. 2010;26(4):524–38.CrossRefPubMedGoogle Scholar
  40. 40.
    Hyer CF, Vancourt R. Arthroscopic repair of lateral ankle instability by using the thermal-assisted capsular shift procedure: a review of 4 cases. J Foot Ankle Surg. 2004;43:104–9.CrossRefPubMedGoogle Scholar
  41. 41.
    Johnson EE, Markolf KL. The contribution of the anterior talofibular ligament to ankle laxity. J Bone Joint Surg Am. 1983;65A:81–8.Google Scholar
  42. 42.
    Kashuk KB, Carbonell JA, Blum JA. Arthroscopic stabilization of the ankle. Clin Podiatr Med Surg. 1997;14:459–78.PubMedGoogle Scholar
  43. 43.
    Kashuk KB, Landsman AS, Werd MB, Hanft JR, Roberts M. Arthroscopic lateral ankle stabilization. Clin Podiatr Med Surg. 1994;11:407–23.PubMedGoogle Scholar
  44. 44.
    Khan A, Fanton G. Use of thermal energy in treatment of ankle disorders. Sports Med Arthrosc Rev. 2000;8:354–64.CrossRefGoogle Scholar
  45. 45.
    Kim HN, Dong Q, Hong DY, Yoon YH, Park YW. Percutaneous lateral ankle ligament reconstruction using a split peroneus longus tendon free graft: technical tip. Foot Ankle Int. 2014;35:1082–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Kim ES, Lee KT, Park JS, Lee YK. Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics. 2011;34(4).Google Scholar
  47. 47.
    Kjaersgaard-Andersen P, Wethelund JO, Helmig P, et al. Effect of the calcaneofibular ligament on hindfoot rotation in amputation specimens. Acta Orthop Scand. 1987;58:135–8.CrossRefPubMedGoogle Scholar
  48. 48.
    Kjaersgaard-Andersen P, Wethelund JO, Helmig P, et al. The stabilizing effect of the ligamentous structures in the sinus and canalis tarsi on movements in the hindfoot: an experimental study. Am J Sports Med. 1988;16:512–6.CrossRefPubMedGoogle Scholar
  49. 49.
    Komenda GA, Ferkel RD. Arthroscopic findings associated with the unstable ankle. Foot Ankle Int. 1999;20(11):708–13.CrossRefPubMedGoogle Scholar
  50. 50.
    Kosinski C. The course, mutual relations and distribution of the cutaneous nerves of the metazonal region of leg and foot. J Anat. 1926;60(Pt 3):274–97.PubMedPubMedCentralGoogle Scholar
  51. 51.
    Kumai T, Takakura Y, Rufai A, et al. The functional anatomy of the human anterior talofibular ligament in relation to ankle sprains. J Anat. 2002;200(5):457–65.CrossRefPubMedPubMedCentralGoogle Scholar
  52. 52.
    Labib SA, Slone HS. Ankle arthroscopy for lateral ankle instability. Tech Foot Ankle Surg. 2015;14:25–7.CrossRefGoogle Scholar
  53. 53.
    Lozano-Calderón SA, Samocha Y, McWilliam J. Comparative performance of ankle arthroscopy with and without traction. Foot Ankle Int. 2012;33(9):740–5.CrossRefPubMedGoogle Scholar
  54. 54.
    Lui TH. Arthroscopic-assisted lateral ligamentous reconstruction in combined ankle and subtalar instability. Artrosc J Artrosc Relat Surg. 2007;23:554.e1–5.CrossRefGoogle Scholar
  55. 55.
    Lui TH. Modified arthroscopic Brostrom procedure. Foot Ankle Surg. 2015;21:216–9.CrossRefPubMedGoogle Scholar
  56. 56.
    Maiotti M, Massoni C, Tarantino U. The use of arthroscopic thermal shrinkage to treat chronic lateral ankle instability in young athletes. Arthrosc-J Arthrosc Relat Surg. 2005;21:751–7.CrossRefGoogle Scholar
  57. 57.
    Matsui K, Takao M, Miyamoto W, et al. Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle. Arch Orthop Trauma Surg. 2014;134(10):1461–7.CrossRefPubMedGoogle Scholar
  58. 58.
    Milner CE, Soames RW. Anatomical variations of the anterior talofibular ligament of the human ankle joint [correspondence]. J Anat. 1997;191:457–8.CrossRefPubMedPubMedCentralGoogle Scholar
  59. 59.
    Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRefPubMedPubMedCentralGoogle Scholar
  60. 60.
    Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N. Arthroscopic-assisted Brostrom-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med. 2011;39:2381–8.CrossRefPubMedGoogle Scholar
  61. 61.
    Oloff LM, Bocko AP, Fanton G. Arthroscopic monopolar radiofrequency thermal stabilization for chronic lateral ankle instability: a preliminary report on 10 cases. J Foot Ankle Surg. 2000;39:144–53.CrossRefPubMedGoogle Scholar
  62. 62.
    Panchbhavi VK. Minimally invasive allograft lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:117–21.CrossRefGoogle Scholar
  63. 63.
    Piraino JA, Busch EL, Sansosti LE, Pettineo SJ, Creech C. Use of an all-suture anchor for re-creation of the anterior talofibular ligament: a case report. J Foot Ankle Surg. 2015;54:126–9.CrossRefPubMedGoogle Scholar
  64. 64.
    Priano F, Gatto P. Arthroscopic reconstruction of inveterate anterior talofibular ligament tears. Notes on the technique employed and the short-term results. J Sports Traumatol Relat Res. 1994;16:97–104.Google Scholar
  65. 65.
    Prissel MA, Roukis TS. All-inside, anatomical lateral ankle stabilization for revision and complex primary lateral ankle stabilization: a technique guide. Foot Ankle Spec. 2014;7:484–91.CrossRefPubMedGoogle Scholar
  66. 66.
    Raikin SM, Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int. 2007;28(2):154–61.CrossRefPubMedGoogle Scholar
  67. 67.
    Renstrom PAFH, Konradsen L. Ankle ligament injuries. Br J SportsMed. 1997;31:11–20.CrossRefGoogle Scholar
  68. 68.
    Renstrom FH, Lynch SA. Acute injuries of the ankle. Foot Ankle Clin. 1999;4:697–711.Google Scholar
  69. 69.
    Rouvillain JL, Daoud W, Donica A, et al. Distraction-free ankle arthroscopy for anterolateral impingement. Eur J Orthop Surg Traumatol. 2014;24(6):1019–23.CrossRefPubMedGoogle Scholar
  70. 70.
    Sarrafian SK. Anatomy of the foot and ankle. Descriptive, topographic, functional. 2nd ed. Philadelphia: Lippincott; 1993. p. 159–217.Google Scholar
  71. 71.
    Sarrafian SK. Anatomy of the foot and ankle. Descriptive, topographic, functional. 2nd ed. Philadelphia: J.B. Lippincott Co; 1993.Google Scholar
  72. 72.
    Sayli U, Tekdemyr Y, Çubuk HE, et al. The course of the superficial peroneal nerve: an anatomical cadaver study. Foot Ankle Surg. 1998;4(2):63–9.CrossRefGoogle Scholar
  73. 73.
    Schäfer D, Hintermann B. Arthroscopic assessment of the chronic unstable ankle joint. Knee Surg Sports Traumatol Arthrosc. 1996;4(1):48–52.CrossRefPubMedGoogle Scholar
  74. 74.
    Scranton PE, McDermott JE, Rogers JV. The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int. 2000;21(8):657–64.PubMedGoogle Scholar
  75. 75.
    Stephens MM, Kelly PM. Fourth toe flexion sign: a new clinical sign for identification of the superficial peroneal nerve. Foot Ankle Int. 2000;21(10):860–3.PubMedGoogle Scholar
  76. 76.
    Stephens MM, Sammarco GJ. The stabilizing role of the lateral ligament complex around the ankle and subtalar joints. Foot Ankle. 1992;13:130–6.CrossRefPubMedGoogle Scholar
  77. 77.
    Strauss JE, Forsberg JA, Lippert FG. Chronic lateral ankle instability and associated conditions. Foot Ankle Int. 2007;28(10):1041–4.CrossRefPubMedGoogle Scholar
  78. 78.
    Taga I, Shino K, Inoue M, Nakata K, Maeda A. Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study. Am J Sports Med. 1993;21(1):120–7.CrossRefPubMedGoogle Scholar
  79. 79.
    Takao M, Matsui K, Stone JW, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc. 2015. [Epub ahead of print].Google Scholar
  80. 80.
    Tol JL, Slim E, Van Soest AJ, Van Dijk CN. The relationship of the kicking action in soccer and anterior ankle impingement syndrome. Am J Sports Med. 2002;30:45–50.PubMedGoogle Scholar
  81. 81.
    Van Dijk CN, Bossuyt PMM, Marti RK. Medial ankle pain after lateral ligament rupture. J Bone Joint Surg Br. 1996;78B:562–7.Google Scholar
  82. 82.
    van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy. 1997;13:90–6.CrossRefPubMedGoogle Scholar
  83. 83.
    van Dijk CN, van Bergen CJ. Advancements in ankle arthroscopy. J Am Acad Orthop Surg. 2008;16(11):635–46.CrossRefPubMedGoogle Scholar
  84. 84.
    Vaseenon T, Amendola A. Update on anterior ankle impingement. Curr Rev Musculoskelet Med. 2012;5:145–50.CrossRefPubMedPubMedCentralGoogle Scholar
  85. 85.
    Vega J, Golanó P, Pellegrino A, et al. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int. 2013;34(12):1701–9.CrossRefPubMedGoogle Scholar
  86. 86.
    Vega J, Peña F, Golanó P. Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain. Knee Surg Sports Traumatol Arthrosc. 2014. [Epub ahead of print].Google Scholar
  87. 87.
    Ventura A, Terzaghi C, Legnani C, et al. Arthroscopic four-step treatment for chronic ankle instability. Foot Ankle Int. 2012;33(1):29–36.CrossRefPubMedGoogle Scholar
  88. 88.
    Wang J, Hua Y, Chen S, Li H, Zhang J, Li Y. Arthroscopic repair of lateral ankle ligament complex by suture anchor. Arthrosc J Arthrosc Relat Surg. 2014;30:766–73.CrossRefGoogle Scholar
  89. 89.
    Wang B, Xu X. Minimally invasive reconstruction of lateral ligaments of the ankle using semitendinosus autograft. Foot Ankle Int. 2013;34:711–5.CrossRefPubMedGoogle Scholar
  90. 90.
    Williams PL, Warwick R, Dyson M. Gray’s anatomy. 37th ed. Edinburgh: Churchill Livingstone; 1989.Google Scholar
  91. 91.
    Wright JG, Einhorn TA, Heckman JD. Grades of recommendation. J Bone Joint Surg Am. 2005;87:1909–10.CrossRefPubMedGoogle Scholar
  92. 92.
    Wright JG, Swiontkowski MF, Heckman JD. Introducing levels of evidence to the journal. J Bone Joint Surg Am. 2003;85-A:1–3.PubMedGoogle Scholar
  93. 93.
    Xu X, Hu M, Liu J, Zhu Y, Wang B. Minimally invasive reconstruction of the lateral ankle ligaments using semitendinosus autograft or tendon allograft. Foot Ankle Int. 2014;35:1015–21.CrossRefPubMedGoogle Scholar
  94. 94.
    Youn H, Kim YS, Lee J, Choi WJ, Lee JW. Percutaneous lateral ligament reconstruction with allograft for chronic lateral ankle instability. Foot Ankle Int. 2012;33:99–104.CrossRefPubMedGoogle Scholar
  95. 95.
    Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012;20(8):1420–31.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© ESSKA 2016

Authors and Affiliations

  • Bernard Burgesson
    • 1
  • Mark Glazebrook
    • 2
  • Stephane Guillo
    • 3
  • Kentaro Matsui
    • 4
  • Mickey Dalmau Pastor
    • 5
  • Fernando Peña
    • 6
  • Masato Takao
    • 7
  • Jordi Vega
    • 8
  • ESSKA AFAS Ankle Instability Group
  1. 1.Queen Elizabeth II Health Sciences Center Halifax InfirmaryDalhousie UniversityHalifaxCanada
  2. 2.Queen Elizabeth II Health Sciences CenterHalifaxCanada
  3. 3.Sport clinic of Bordeaux MerignacMérignacFrance
  4. 4.Dalhousie UniversityHalifaxCanada
  5. 5.Department of Embriology and Human AnatomyUniversitat de BarcelonaBarcelonaSpain
  6. 6.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  7. 7.Department of Orthopaedic SurgeryTeikyo Institute of Sports Science and Medicine, Teikyo UniversityTokyoJapan
  8. 8.Foot and Ankle UnitHospital QuirónBarcelonaSpain

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