Ankle Arthroscopy

An Update

Jordi Vega, Miki Dalmau-Pastor, Francesc Malagelada, Betlem Fargues-Polo, Fernando A Pena

Research output: Contribution to journalReview article

11 Citations (Scopus)

Abstract

A number of evidence-based arthroscopic techniques have been advocated to treat ankle pathology, including ankle instability, impingement, osteochondral lesions, and end-stage osteoarthritis. For anterior ankle arthroscopy, one technique that has gained favor involves insertion of the arthroscope with no distraction of the ankle and with the ankle in dorsiflexion to prevent damage to the anterior structures. Subsequent distraction can assist with visualization of the middle and posterior portions of the ankle joint while paying attention to avoid any damage to the articular cartilage. Hindfoot endoscopy is recommended for posterior ankle abnormalities. Complications can be minimized by the surgeon's sound knowledge of ankle anatomy and a systematic surgical approach. Ankle instability can be complex and involve the deltoid and lateral collateral ligaments. The understanding of ligamentous pathology is evolving. Careful inspection of the ligaments during arthroscopy will allow the surgeon to better understand the instability pattern present and treat it accordingly by open or arthroscopic techniques. Newer diagnoses within instability include microinstability and rotational instability. The role of arthroscopy for managing patients with the recently described diagnoses of rotational instability and microinstability of the ankle needs further investigation.

Original languageEnglish (US)
Pages (from-to)1395-1407
Number of pages13
JournalJournal of Bone and Joint Surgery - American Volume
Volume99
Issue number16
DOIs
StatePublished - Aug 6 2017

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Arthroscopy
Ankle
Arthroscopes
Ankle Lateral Ligament
Pathology
Ankle Joint
Articular Cartilage
Ligaments
Osteoarthritis
Endoscopy
Anatomy

Cite this

Vega, J., Dalmau-Pastor, M., Malagelada, F., Fargues-Polo, B., & Pena, F. A. (2017). Ankle Arthroscopy: An Update. Journal of Bone and Joint Surgery - American Volume, 99(16), 1395-1407. https://doi.org/10.2106/JBJS.16.00046

Ankle Arthroscopy : An Update. / Vega, Jordi; Dalmau-Pastor, Miki; Malagelada, Francesc; Fargues-Polo, Betlem; Pena, Fernando A.

In: Journal of Bone and Joint Surgery - American Volume, Vol. 99, No. 16, 06.08.2017, p. 1395-1407.

Research output: Contribution to journalReview article

Vega, J, Dalmau-Pastor, M, Malagelada, F, Fargues-Polo, B & Pena, FA 2017, 'Ankle Arthroscopy: An Update', Journal of Bone and Joint Surgery - American Volume, vol. 99, no. 16, pp. 1395-1407. https://doi.org/10.2106/JBJS.16.00046
Vega J, Dalmau-Pastor M, Malagelada F, Fargues-Polo B, Pena FA. Ankle Arthroscopy: An Update. Journal of Bone and Joint Surgery - American Volume. 2017 Aug 6;99(16):1395-1407. https://doi.org/10.2106/JBJS.16.00046
Vega, Jordi ; Dalmau-Pastor, Miki ; Malagelada, Francesc ; Fargues-Polo, Betlem ; Pena, Fernando A. / Ankle Arthroscopy : An Update. In: Journal of Bone and Joint Surgery - American Volume. 2017 ; Vol. 99, No. 16. pp. 1395-1407.
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