A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology

Double Posteromedial Portals for Posterior Ankle Arthroscopy in Supine Position

“…However, in our departments, trainees, fellows and staff surgeons are exposed on a regular basis to posterior ankle endoscopy and arthroscopy using the double posteromedial portal and find the procedure easy to master. Second, we did compare the approach described in the present investigation with the other commonly used one [14]. While we placed portals both anteriorly and posteriorly some authors [1,6,8] discourage the use of posterior portals except the posterolateral [1,2].…”

“…Surgery may address abnormalities in the posterior aspect of the joint, but disorders outside the posterior capsule need more dissection. More recently, several authors [8,[12][13][14] reported the relationship between the posterior tibial neurovascular bundle and surrounding structures. One of these authors [14] suggested the posterior aspect of the ankle could be safely approached through posteromedial and posterolateral portals with the patients prone, but that report addressed only posterior disorders.…”

“…More recently, several authors [8,[12][13][14] reported the relationship between the posterior tibial neurovascular bundle and surrounding structures. One of these authors [14] suggested the posterior aspect of the ankle could be safely approached through posteromedial and posterolateral portals with the patients prone, but that report addressed only posterior disorders. The technique reported in the present investigation safely reaches the posterior ankle compartment and hindfoot with the patient supine after anterior arthroscopy, addressing disorders of the anterior and posterior ankle at the same time.…”

Endoscopic Removal of Loose Bodies of the Posterior Ankle Extra-articular Space Arising From Flexor Hallucis Longus Tenosynovial Osteochondromatosis

“…Posterior ankle endoscopy is a useful therapeutic tool for the treatment of various pathologies of the posterior ankle. 11 Endoscopic removal of The extra-articular space proper and its walls can be assessed. Although not shown in the presented case, the Achilles tendon (posterior wall of the posterior ankle extra-articular space) also can be approached through the posteromedial and posterolateral portals.…”

“…Posteromedial ankle endoscopy is performed with these 2 portals (Fig 2). 11 The posteromedial portal is later extended proximally for removal of large loose bodies and subsequent zone 2 FHL tendoscopy. 3,12 Removal of Loose Bodies of Posterior Ankle Extra-articular Space Proper…”