Arthroscopic Treatment for Anterior Ankle Impingement: A Systematic Review of the Current Literature

2015 ◽  
Vol 31 (8) ◽  
pp. 1585-1596 ◽  
Author(s):  
Ruben Zwiers ◽  
Johannes I. Wiegerinck ◽  
Christopher D. Murawski ◽  
Ethan J. Fraser ◽  
John G. Kennedy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Current Literature ◽  
Arthroscopic Treatment ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

Arthroscopic Treatment of Anterior Ankle Impingement Syndrome in Dancers

2005 ◽  
Vol 26 (11) ◽  
pp. 908-912 ◽  
Author(s):  
Aneel Nihal ◽  
Donald J. Rose ◽  
Elly Trepman
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Case Series ◽  
Scar Tissue ◽  
Nonoperative Treatment ◽  
Impingement Syndrome ◽  
Arthroscopic Treatment ◽  
Dance Performance ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

Background: The purpose of this study was to evaluate the results of arthroscopic treatment of anterior bony and soft-tissue impingement of the ankle in elite dancers. Methods: The study is a case series retrospectively reviewed. In the period between 1990 and 1999, 11 elite dancers (12 ankles) had ankle arthroscopy after a diagnosis of anterior ankle impingement that markedly interfered with their dancing. Initial nonoperative treatment failed in all subjects. Previous ankle trauma was noted in all subjects. There were seven women and four men (average age 28 years). Tibiotalar exostoses were radiographically noted in six ankles. Standard anteromedial and anterolateral arthroscopic portals and instrumentation were used for resection of bone spurs and debridement of impinging soft tissues. Patients were nonweightbearing for 5 days after surgery and had postoperative physiotherapy. Results: Nine dancers returned to full dance activity at an average of 7 weeks after surgery. One patient did not return to dance performance because of concurrent unrelated orthopaedic problems, but he resumed work as a dance teacher; he developed a recurrent anterior tibial spur that was successfully resected at a second arthroscopy 9 years later. Another dancer developed postoperative scar-tissue impingement and stiffness; she had a repeat arthroscopy 4 months after the initial procedure and subsequently returned to dance performance. All patients eventually had marked postoperative improvement in pain relief and dance performance. Conclusions: Arthroscopic debridement is an effective method for the treatment of bony and soft-tissue anterior ankle impingement syndrome in dancers and has minimal morbidity.

Arthroscopic Treatment of Anterior Ankle Impingement

2011 ◽  
Vol 28 (3) ◽  
pp. 491-510 ◽  
Author(s):  
Keith Jacobson ◽  
Alan Ng ◽  
Kyle E. Haffner
Keyword(s):  
Arthroscopic Treatment ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

scholarly journals Outcomes Following Arthroscopy for Anterior Impingement in the Ankle Joint: Need for Gender as a Variable in Analysis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0022
Author(s):  
Arianna L. Gianakos ◽  
Axel Ivander ◽  
Christopher W. DiGiovanni ◽  
John G. Kennedy
Keyword(s):  
Systematic Review ◽  
Gender Differences ◽  
Functional Outcome ◽  
Demographic Variable ◽  
Demographic Data ◽  
Return To Sport ◽  
Return To Play ◽  
Complication Rates ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

Category: Ankle; Arthroscopy Introduction/Purpose: To provide an overview of the clinical outcomes of arthroscopic procedures used as a treatment strategy for anterior ankle impingement and to determine if gender affects outcome. Methods: A systematic literature search of the Medline, Embase, and Cochrane databases was performed during June of 2019. The combination of search terms utilized included the following: ankle, impingement, syndrome, talus, compression, osteophyte, arthroscopy, surgery, procedures, and treatment. Two reviewers independently performed data extraction consisting of demographic data, intraoperative arthroscopic data, functional outcome scores, patient satisfaction, complications, return to play, and gender differences. Results: Twenty-eight articles evaluating 1,506 patients were included in this systematic review [Table 1]. Sixty percent and 14% of studies assessed anterolateral and anteromedial impingement, respectively. All studies (16/16, 100%) that evaluated functional outcome reported improvements in AOFAS, VAS, and FFI Scores [Table 2]. The average complication rate was 3.89% [Table 3]. Average return to sport was 8 months. The most common associated pathologies found during arthroscopic evaluation were synovitis, osteophytes, and meniscoid lesions. Four studies (15%) failed to report gender as a demographic variable. Only 5 (17%) studies reported gender analysis, with one demonstrating that male patients had worse outcomes at 6-year follow-up. Conclusion: Our systematic review suggests that arthroscopic treatment for anterior ankle impingement provides good to excellent functional outcomes and low complication rates in the majority of patients. However, current analyses lack outcome evaluations that compare male and female populations. Future studies should perform such assessments to determine whether gender differences play a role in outcomes following arthroscopic intervention. [Table: see text][Table: see text][Table: see text]

scholarly journals Combined Anterior and Dual Posterolateral Approaches for Ankle Arthroscopy for Posterior and Anterior Ankle Impingement Syndrome

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0046
Author(s):  
Bin Song ◽  
Yunfeng Zhou
Keyword(s):  
Operation Time ◽  
Impingement Syndrome ◽  
Arthroscopic Treatment ◽  
Conventional Group ◽  
Aofas Score ◽  
Ankle Motion ◽  
Vas Score ◽  
Ankle Impingement ◽  
Novel Method ◽  
Anterior Ankle Impingement

Category: Arthroscopy Introduction/Purpose: We introduce a novel method of combining the standard anteromedial and anterolateral approaches and dual posterolateral approaches in the arthroscopic treatment of posterior and anterior ankle impingement syndrome and compare the postoperative outcomes with conventional anteromedial/anterolateral and posteromedial/posterolateral Methods: From January 2015 to January 2017, we treated 28 patients with posterior and anterior ankle impingement syndrome by arthroscopy. The patients were divided into the conventional group (n = 13) and the modified group (n = 15) according to the surgical approaches used in the operation. Preoperative and postoperative American Orthopaedic Foot & Ankle Society (AOFAS) score, visual analog scale (VAS) score, range of ankle motion, and operation time were recorded. The average follow-up was 16 months (range 6-24 months). Results: Posterior and anterior ankle impingement syndrome was confirmed arthroscopically in all patients. After the operation, the range of ankle motion in all patients was restored. There was no significant difference in postoperative AOFAS score, VAS score, dorsiflexion, and plantarflexion between the conventional group and the modified group. Moreover, the operation time was significantly reduced in the modified group compared with the conventional group. There was no recurrence of osteophyte and no complications such as infection, neurovascular injury, or delayed healing of surgical incision in the modified group. Conclusion: Dual posterolateral approaches combined with standard anteromedial and anterolateral approaches was a novel method for arthroscopic treatment of posterior and anterior ankle impingement syndrome. It proved to be safe and effective, and significantly reduced the operation time. Reposition, repeated prep and drape, and limb distraction were avoided.

Arthroscopic Treatment of Anterior Ankle Impingement

2014 ◽  
Vol 42 (11) ◽  
pp. 2722-2726 ◽  
Author(s):  
Stewart J. Walsh ◽  
Bruce C. Twaddle ◽  
Michael P. Rosenfeldt ◽  
Matthew J. Boyle
Keyword(s):  
Arthroscopic Treatment ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

Current concepts review: Arthroscopic treatment of anterior ankle impingement

2017 ◽  
Vol 23 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Keir A. Ross ◽  
Christopher D. Murawski ◽  
Niall A. Smyth ◽  
Ruben Zwiers ◽  
Johannes I. Wiegerinck ◽  
...  
Keyword(s):  
Arthroscopic Treatment ◽  
Ankle Impingement ◽  
Anterior Ankle Impingement

Outcomes After Arthroscopic Surgery for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Sex Play a Role?

2021 ◽  
pp. 036354652098009
Author(s):  
Arianna L. Gianakos ◽  
Axel Ivander ◽  
Christopher W. DiGiovanni ◽  
John G. Kennedy
Keyword(s):  
Systematic Review ◽  
Functional Outcomes ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Ankle Sprains ◽  
Athletic Population ◽  
Ankle Impingement ◽  
Chondral Injury ◽  
Male Patients ◽  
Anterior Ankle Impingement

Background: Although anterior ankle impingement is a common pathology within the athletic population, there have been limited data evaluating outcomes of arthroscopic intervention and whether patient sex affects treatment outcomes. Purpose: To provide an overview of the clinical outcomes of arthroscopic procedures used as a treatment strategy for anterior ankle impingement and to determine if patient sex affects outcomes. Study Design: Systematic review. Methods: A systematic literature search of the MEDLINE, Embase, and Cochrane databases was performed during August 2019. The following combination of search terms was utilized: “ankle,” “impingement,” “talus,” “osteophyte,” “arthroscopy,” “surgery,” “procedures,” and “treatment.” Two reviewers independently performed data extraction. Results: A total of 28 articles evaluating 1506 patients were included in this systematic review. Among the studies, 60% (17/28) and 14% (4/28) assessed anterolateral and anteromedial impingement, respectively. Good to excellent results were reported after arthroscopy in patients with anterior ankle impingement, with a success rate of 81.04%. All studies that evaluated functional outcomes (16/16; 100%) cited improvements in American Orthopaedic Foot & Ankle Society scale, visual analog scale, and Foot Function Index. The average complication rate was 4.01%, with the most common complications being mild nerve symptoms and superficial infection. The most common concomitant pathologies included synovitis, osteophytes, meniscoid lesions, and anterior inferior tibiofibular ligament injury. Four studies (15%) failed to report sex as a demographic variable. Only 7 (25%) studies included analysis by sex, with 4 (57%) of these demonstrating differences when comparing outcomes by patient sex. When compared with male patients, female patients exhibited higher rates of traumatic ankle sprains, chondral injury, and chronic ankle instability associated with anterior ankle impingement. Conclusion: Our systematic review demonstrates that arthroscopic treatment for anterior ankle impingement provides good to excellent functional outcomes, low complication rates, and good return-to-sports rates in both the general and the athletic population. This study also reports a lack of statistical analysis evaluating outcomes comparing male and female populations. The included studies demonstrate that, compared with male patients, female patients have higher rates of traumatic ankle sprains, chondral injury, and chronic ankle instability associated with anterior ankle impingement; therefore, particular attention should be paid to addressing such concomitant pathology.

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