Document Detail

Arthroscopic excision of posterior ankle bony impingement for early return to the field: short-term results.
MedLine Citation:
PMID:  20460066     Owner:  NLM     Status:  MEDLINE    
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.
Hideo Noguchi; Yoshinori Ishii; Mitsuhiro Takeda; Atsushi Hasegawa; Satoshi Monden; Kenji Takagishi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  31     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-07-22     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  398-403     Citation Subset:  IM    
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MeSH Terms
Ankle Injuries / complications,  physiopathology,  surgery*
Athletic Injuries / complications,  physiopathology,  surgery*
Cohort Studies
Joint Diseases / etiology,  physiopathology,  surgery*
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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