Arthroscopic Treatment of Patients with Anterolateral Impingement of the Ankle with and without Chondral Lesions

Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

“…Approximately 1% to 2% of ankle-inversion injuries will lead to chronic pain requiring arthroscopic debridement to treat chronic soft tissue impingement (5,13). More than 50% of our patients had inversion injuries due to sports, such as football.…”

“…Finally, the diagnosis was confirmed by the arthroscopic findings. The impingement of the osseous spurs in the ankle was evaluated at 4 levels using the Scranton criteria, which consisted of impingement of the soft tissue or spurs of <3 mm, tibial spurs of >3 mm, fragmentation or tibial and talar spurs of >3 mm, and tibiotalar osteoarthritis (5).…”

“…One of the most common intra-articular ankle lesions is anterolateral impingement syndrome of the ankle (ALISA) (4). This is a condition in which the patient experiences chronic pain secondary to hypertrophy or disruption of the anterolateral ligament or capsule of the ankle that can be consecutively caused by repeated traumatic injuries or tension (5). Previous studies have reported arthroscopy to be a useful technique in the diagnosis and treatment of ALISA (5).…”

Ankle Arthroscopy after Ankle Sprains

“…It is essential for impingement removal to prevent the subsequent chondral lesions formation. In literature it has been shown that the removal of impingement in patients with chondral lesions, compared with others without chondral lesions, there is no difference in the ankle function at the follow up [61] .…”

US in ankle impingement syndrome

“…4, 5) is useful for a positive diagnosis of impingement and the differential diagnosis including other disorders, such as delayed healing of the ligament, articular cartilage lesions, the presence of intra-articular foreign bodies or peroneal tendon disorders [12]. According to a recent study, chondral or osteochondral lesions may be associated with abnormal growth of scar tissue and synovial abnormalities, but their presence or absence does not seem to affect the long-term prognosis after arthroscopic synovectomy [13].…”