Arthroscopic Management of Posteromedial Ankle Impingement

Lui, Tun Hing

doi:10.1016/j.eats.2015.03.012

Cited by 9 publications

(2 citation statements)

References 15 publications

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“…Moreover, a higher posteromedial portal may reduce the risk of injury to the posterior tibial neurovascular bundle during debridement of the posteromedial ankle gutter. 10,11 In addition, the ankle should not undergo dorsiflexion during debridement of the posteromedial ankle gutter. Otherwise, the posterior tibial neurovascular bundle may be compressed by the shaft of the arthroscopic instruments.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Capsular Release of the Ankle Joint

Lui¹

2016

Arthroscopy Techniques

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Adhesive capsulitis of the ankle is also known as frozen ankle and results in marked fibrosis and contracture of the ankle capsule. Arthroscopic capsular release is indicated for symptomatic frozen ankle that is resistant to conservative treatment. It is contraindicated for ankle stiffness due to degenerative joint disease, intra-articular malunion, or adhesion of the extensors of the ankle. The procedure consists of endoscopic posterior ankle capsulectomy and arthroscopic anterior ankle capsulotomy. It has the advantages of being minimally invasive surgery and allowing early postoperative vigorous mobilization of the ankle joint.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Capsular Release of the Ankle Joint

Lui¹

2016

Arthroscopy Techniques

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“…The FHL tendon does not need to be pushed medially and impingement to the tibial neurovascular bundle can be avoided. 12,13…”

Section: Access To Posterior Ankle Recessmentioning

confidence: 99%

Endoscopic Approach to Posterior Ankle via Lateral Portals

Mak

Lui²

2020

Arthroscopy Techniques

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Posterior ankle pain is a common foot and ankle problem faced by orthopaedic surgeons. It can have many causes, including posterior ankle joint pathologies (synovitis or osteochondral lesion), ankle impingement (posterior, posterolateral, or posteromedial), flexor hallucis longus pathologies, peroneal tendon problems, posterior tibial tendinopathy, Achilles tendon pathology, posterior subtalar tarsal coalition, or tarsal tunnel syndrome. Most of these pathologies can be managed effectively by an endoscopic approach. The classic endoscopic approach is the 2-portal posterior ankle endoscopy with the portals at the medial and lateral side of the Achilles tendon. This is performed with the patient in prone position. In this technical note, we describe the details of endoscopic approach to the posterior ankle via lateral portals. This allow flexibility of patient positioning (supine, prone, or lateral). It is particularly effective for the management of posteromedial ankle impingement without the risk of injury to the posterior tibial neurovascular bundle. Moreover, any concomitant peroneal tendon pathology can be managed via the same lateral portals.

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Soft Tissue Endoscopy

Cheng

Lui

et al. 2019

Arthroscopy and Endoscopy of the Foot and Ankle

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Arthroscopic Management of Posteromedial Ankle Impingement

Cited by 9 publications

References 15 publications

Arthroscopic Capsular Release of the Ankle Joint

Arthroscopic Capsular Release of the Ankle Joint

Endoscopic Approach to Posterior Ankle via Lateral Portals

Soft Tissue Endoscopy

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