scholarly journals Severe complications of posterior ankle arthroscopy

2019 ◽  
Vol 13 (3) ◽  
pp. 223-7
Author(s):  
Celso Garreta Prats Dias ◽  
Nacime Salomão Barbachan Mansur ◽  
Inácio Diogo Asaumi ◽  
Andre Vitor Kerber Cavalcanti Lemos ◽  
Rafael Mohriak Azevedo ◽  
...  
Keyword(s):  
Expert Opinion ◽  
Ankle Arthrodesis ◽  
Ankle Arthroscopy ◽  
Level Of Evidence ◽  
Posterior Ankle Arthroscopy ◽  
Extreme Care ◽  
Arthroscopic Procedures

Posterior ankle and hindfoot arthroscopic procedures are associated with a series of possible complications that must be taken into consideration by physicians when performing surgery. This article intends to assess the severe complications, such as subtalar ankle arthrodesis, occurring in patients undergoing ankle arthroscopy procedures in which at least one posterior portal is used. A series of five consecutive patients undergoing posterior ankle arthroscopy-related procedures were assessed. All the complications described in this article were considered severe by the group. We suggest that extreme care is necessary for the training and indications of this very useful but underestimated and complex tool. Level of Evidence V; Therapeutic Studies; Expert Opinion.

scholarly journals Vascular complication after anterior ankle arthroscopy

2019 ◽  
Vol 13 (1) ◽  
pp. 87-90
Author(s):  
Tatiana Ferreira dos Santos ◽  
Mauro Cesar Matos e Dinato
Keyword(s):  
Postoperative Complications ◽  
Expert Opinion ◽  
Current Literature ◽  
Arterial Occlusion ◽  
Treatment Recommendations ◽  
Vascular Complication ◽  
Ankle Arthroscopy ◽  
Level Of Evidence

Postoperative complications are a concern for surgeons, and their incidence reaches 9% in ankle arthroscopy. Of these, neurovascular complications are particularly concerning. This report aims to show a vascular complication not previously reported in the literature, in order to alert about its possibility and to provide information on the treatment recommendations in the current literature. It is a case of distal arterial occlusion in the foot after anterior ankle arthroscopy. The patient was operated upon, and the problem was resolved four months after surgery. Level of Evidence V; Therapeutic Studies; Expert Opinion.

scholarly journals Endoscopic Treatment of Posterior Ankle Impingement Secondary to Os Trigonum in Recreational Athletes

2020 ◽  
Vol 5 (3) ◽  
pp. 247301142094533
Author(s):  
Dimitrios Nikolopoulos ◽  
George Safos ◽  
Konstantinos Moustakas ◽  
Neoptolemos Sergides ◽  
Petros Safos ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Case Series ◽  
Activity Level ◽  
Ankle Arthroscopy ◽  
Level Of Evidence ◽  
Os Trigonum ◽  
Recreational Athletes ◽  
Ankle Impingement ◽  
Posterior Ankle Impingement ◽  
Posterior Ankle Arthroscopy

Background: The os trigonum (OT)—the most common accessory bone of the foot—although usually asymptomatic, may cause posterior ankle impingement syndrome (PAIS), which may be a severely debilitating problem for recreational or competitive athletes. The aim of the present study was to evaluate effectiveness of posterior ankle arthroscopy and to assess the outcome in the treatment of PAIS secondary to OT impingement or OT fractures within a group of young athletes and their return to previous sports level. Methods: From 2011 to 2018, a retrospective review of 81 recreational athletes of mean age 27.8 years was performed. All patients were diagnosed with PAIS due to OT pathology and were operated on endoscopically with resection of the OT. Pre- and postoperative clinical evaluation were performed at 3 months, 1 year, and 2 years based on visual analog scale (VAS), ankle range of motion (ROM), American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, and the Foot & Ankle Disability Index (FADI) scores, in a follow-up of at least 2 years. Results: VAS score was significantly improved from an average of 7.5 (5-9) preoperatively to 1.9 (1-3) at 3 months postoperatively and to 0.6 (0-2) and 0.3 (0 -1) at 1 and 2 years postoperatively. Ankle ROM was significantly improved from an average of 24.8 (10-35) preoperatively to 58.0 (50-65) at 3 months postoperatively and to 64.0 (50-65) at 1 year and 64.7 (60-65) at 2 years postoperatively. AOFAS and FADI scores were significantly improved from 39.4 (18-55) and 49.7 (42.3-62.5) preoperatively to 85.2 (74-89) and 87.3 (81.7-88.5) postoperatively at 3 months to 97.7 (85-100) and 97.9 (93.3-100) postoperatively at 1 year, respectively ( P < .001). Only 5 patients dropped to a lower activity level. There were 5 complications (4 transient). Conclusion: Endoscopic treatment of PAIS due to OT pathology demonstrated excellent results. Posterior ankle arthroscopy was an effective treatment and allowed for a prompt return to a high activity level of their athletic performance. Level of Evidence: Level IV, therapeutic study / retrospective case series.

Use of Small-Pin Distraction and Low-Speed, High-Torque Burring for Talar Osteochondral Allografts: Technique Tip

2021 ◽  
pp. 107110072110031
Author(s):  
Ryan O’Leary ◽  
Ian M. Foran ◽  
David J. Dalstrom
Keyword(s):  
Expert Opinion ◽  
Level Of Evidence ◽  
Low Speed ◽  
Evidence Level ◽  
High Torque ◽  
Osteochondral Allografts

Level of Evidence: Level V, expert opinion.

scholarly journals Telemedicine Foot and Ankle Visits in the COVID-19 Era

2021 ◽  
Vol 6 (1) ◽  
pp. 247301142199406
Author(s):  
Sameh A. Labib ◽  
Rahul Goel ◽  
Wesley Manz ◽  
Jason Bariteau
Keyword(s):  
Patient Experience ◽  
Expert Opinion ◽  
Foot And Ankle ◽  
Office Visits ◽  
Level Of Evidence ◽  
Excellent Care ◽  
Musculoskeletal Care

Background: The COVID-19 pandemic created a difficult environment to provide musculoskeletal care to patients with foot and ankle pathology given the limitations placed on in-office visits. Telemedicine offered a unique avenue to reach these patients; however, the efficacy of telemedicine visits in patients with foot and ankle pathology is not well studied. We propose a telemedicine protocol that has allowed us to effectively see and treat patients with foot and ankle pathology. Methods: A 12-step standardized telemedicine protocol was created within the Foot and Ankle division that was used for seeing patients through telemedicine. Also included in this is previsit preparation and follow-up recommendations. Press Ganey surveys were retrospectively reviewed to understand patient experience with telemedicine. Results: 85.2% of patients surveyed responded with scores indicating excellent care. When comparing patients who were seen in-office and through telemedicine, 89.2% and 83.4% responded with scores indicating excellent care, respectively ( P = .37). Conclusion: Telemedicine offers an effective and convenient way to provide excellent musculoskeletal care to patients affected with foot and ankle pathology. This is the first study that evaluated a comprehensive protocol for telemedicine encounters and can be used to implement telemedicine by others using this approach. Level of Evidence: Level V, expert opinion.

scholarly journals Arthroscopic Posterior Ankle Ligament Anatomy

2021 ◽  
Vol 6 (2) ◽  
pp. 247301142110006
Author(s):  
Richard D. Ferkel ◽  
Cory Kwong ◽  
Randall Farac ◽  
Mark Pinto ◽  
Nader Fahimi ◽  
...  
Keyword(s):  
Distal Tibia ◽  
Case Series ◽  
Ankle Arthroscopy ◽  
Flexor Hallucis Longus ◽  
Level Of Evidence ◽  
Tibiofibular Ligament ◽  
Ankle Ligament

Background: The purpose of this article is to document the normal arthroscopic appearance of the posterior ankle capsular and ligamentous structures, and variations in their anatomical relationships. Methods: 102 ankle arthroscopy videotapes were evaluated retrospectively for the configuration of the posterior capsuloligamentous structures. Based on these observations, the variations in the appearance and position of the posterior tibiofibular ligament (PTFL) and transverse (tibiofibular) ligament (TTFL) were documented. In addition, differences in the appearance of the flexor hallucis longus (FHL) were also noted. Results: All patients had evidence of both a PTFL and TTFL, which formed a labrum or meniscus-like addition to the posterior distal tibia. No patients demonstrated disruption of the PTFL; 3 had tears of the TTFL. We noted 4 distinct patterns of the PTFL and the TTFL. Thirty-four patients (33%) had a gap of ≥2 mm between the 2 ligamentous structures. Thirty-three (32.4%) had a gap <2 mm between the PTFL and TTFL. Twenty-six (25.5%) had a confluence of the 2 ligaments without a gap. Nine (9%) demonstrated a sizable gap between the 2 ligaments, and the TTFL appeared as a “cord-like” structure. Conclusion: To our knowledge, this is the first article to describe the variations in the arthroscopic normal posterior capsuloligamentous structures and FHL of the ankle. Level of Evidence: Level IV, case series.

Coaxial portals for posterior ankle arthroscopy

2000 ◽  
Vol 16 (8) ◽  
pp. 836-842 ◽  
Author(s):  
Jorge I. Acevedo ◽  
Michael T. Busch ◽  
Timothy M. Ganey ◽  
William C. Hutton ◽  
John A. Ogden
Keyword(s):  
Ankle Arthroscopy ◽  
Posterior Ankle Arthroscopy

scholarly journals Calcaneonavicular coalition resection

2020 ◽  
Vol 14 (3) ◽  
pp. 297-300
Author(s):  
Mercedes Juncay ◽  
Rafael Sposeto ◽  
Alexandre Godoy-Santos ◽  
Túlio Fernandes
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Conservative Treatment ◽  
Treatment Option ◽  
Expert Opinion ◽  
Tarsal Bone ◽  
Tarsal Coalition ◽  
Level Of Evidence ◽  
Calcaneonavicular Coalition ◽  
Tarsal Bones

Tarsal coalition is an abnormal connection between tarsal bones, caused by an embryogenic failure. Its most common forms are calcaneonavicular and talocalcaneal coalition, which are present in 53% and 37% of the cases, respectively. The onset of symptoms is related to tarsal bone ossification, and mean age for this event is estimated at 16 years for calcaneonavicular coalition. Surgical treatment is indicated for patients who did not improve symptoms with conservative treatment. The aim of this study is to present a surgical technique as a treatment option for resection of calcaneonavicular coalition associated with abnormal cuboid-navicular joint. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Instructional Course Lecture Posterior Ankle Arthroscopy: What Are the Limits?

2012 ◽  
pp. 41-63
Author(s):  
P. Golanó ◽  
J. Vega ◽  
P. A. J. de Leeuw ◽  
C. Niek van Dijk ◽  
T. Ögüt ◽  
...  
Keyword(s):  
Ankle Arthroscopy ◽  
Posterior Ankle Arthroscopy

scholarly journals MODERATE INTENSITY PHYSICAL EXERCISE: PSYCHONEUROIMMUNOLOGICAL ASPECTS

2018 ◽  
Vol 24 (5) ◽  
pp. 395-398
Author(s):  
Eduardo Vignoto Fernandes ◽  
Celio Estanislau ◽  
Emerson José Venancio
Keyword(s):  
Mental Health ◽  
Nervous System ◽  
Immune System ◽  
Physical Exercise ◽  
Chronic Stress ◽  
Expert Opinion ◽  
Moderate Intensity ◽  
Anxiety And Depression ◽  
Physical And Mental Health ◽  
Level Of Evidence

ABSTRACT The literature presents several instances of interaction between the nervous system (NS) and the immune system (IS). These interactions are promoted by several molecules, such as cytokines and hormones, with modulating action for both the NS and IS. In this sense, the two systems may influence each other: changes in behavior may be accompanied by alterations in the IS (e.g., immunosuppression) and immunological disorders, such as infections, may modulate behavior (e.g., anxiety and depression). Considering that chronic stress, in addition to affecting behavior, also modulates the IS and that there is evidence that moderate intensity physical exercise (PE) protects physical and mental health, the objective of this review is to explore the influence of moderate-intensity PE on behavior and immunity. Level of Evidence V; Expert opinion.

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