| Arthroscopic excision of posterior ankle bony impingement for early return to the field: short-term results. | |
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MedLine Citation:
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PMID: 20460066 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We treated 12 cases of posterior ankle bony impingement in 12 athletes arthroscopically, and examined the operating methods, findings, and postoperative physical therapy and overall results. MATERIALS AND METHODS: The patients' average age was 21.4 years. The mean duration of postoperative followup was 33.8 months. A 2.7-mm, 30 degree arthroscope was inserted into the subtalar joint using posterolateral and accessory posterolateral portals. When the impinged fragment was visualized, it was carefully excised from the surrounding soft tissues. The operation was completed once the entire flexor hallucis longus tendon was seen. No cast immobilization was applied postoperatively, and physical therapy including limited weight bearing and range-of-motion exercises commenced within 24 hours after surgery. Beginning 3 weeks after surgery, the patients were permitted to gradually resume sports under the guidance of a physiotherapist. The AOFAS ankle-hindfoot score, the postoperative range of motion of the ankle and the time to recover were determined. RESULTS: The average postoperative AOFAS ankle-hindfoot score improved from 68.0 to 98.3 points. The mean preoperative range of motion of the ankle joint was improved from 59.2 degree to 68.4 degree. The average period to return to sports was 5.9 weeks. All patients reached full activity within 13 weeks after surgery. The surgical time ranged from 40 minutes to over 2 hours and was affected by the impingement condition. CONCLUSION: Arthroscopic treatment for posterior ankle bony impingement syndrome was minimally invasive and suitable for athletes who desire an early return to sports activity. |
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Authors:
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Hideo Noguchi; Yoshinori Ishii; Mitsuhiro Takeda; Atsushi Hasegawa; Satoshi Monden; Kenji Takagishi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 31 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-12 Completed Date: 2010-07-22 Revised Date: 2013-02-25 |
Medline Journal Info:
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Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
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Languages: eng Pagination: 398-403 Citation Subset: IM |
Affiliation:
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Ishii Orthopaedic and Rehabilitation Clinic, Orthopaedic Surgery, Gyoda, Saitama 361-0037, Japan. hid_166super@mac.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Ankle Injuries / complications, physiopathology, surgery* Arthroscopy* Athletic Injuries / complications, physiopathology, surgery* Cohort Studies Female Humans Joint Diseases / etiology, physiopathology, surgery* Male Middle Aged Range of Motion, Articular Recovery of Function Retrospective Studies Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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