Arthroscopically Detected Intra-Articular Lesions Associated with Acute Ankle Fractures

Abstract

Chondral lesions are commonly found after an acute ankle fracture. This retrospective study demonstrated that the number of intra-articular chondral lesions associated with the more severe ankle fracture patterns (pronation-external rotation and supination-external rotation type-IV fractures) was greater than the number associated with the less severe ankle fracture patterns.

Ankle post-traumatic osteoarthritis: a CT arthrography study in patients with bi- and trimalleolar fractures

“…The incidence found (85%) is higher than that reported by arthroscopy on comparable clinical grounds [6,29,30]. This may be due to the ultra-thin slices used, which are able to detect small lesions located in arthroscopically hidden areas of the joint.…”

“…In a retrospective study by Leontaritis et al, chondral lesions were found in 73% of 84 ankle fractures that had been treated with ORIF and for which ankle arthroscopy was available [29]. This study demonstrated that the number of intra-articular chondral lesions associated with the more severe ankle fracture patterns was greater than the number associated with the less severe ankle fracture patterns.…”

Arthroscopy-Assisted Surgery for Acute Ankle Fractures: A Systematic Review

“…However, it has been reported that even with anatomically successful surgical reduction of ankle fractures, clinically favorable outcomes are not always achieved. [1][2][3][4][5][6][7] Residual symptoms after acute ankle fractures can be caused by various intra-articular pathologies, such as ligamentous damage or cartilage defects. 2,3,5,8 With traditional open reductioneinternal fixation (ORIF), intra-articular lesions cannot be checked or treated thoroughly and accurately, which may induce chronic pain after acute ankle fractures.…”

“…Arthroscopy-assisted open reductioneinternal fixation (AORIF) for the treatment of acute ankle fractures has also been reported. AORIF has several advantages in theory, including the following: An accurate and direct evaluation of the intra-articular injuries is provided without formal arthrotomy 2,8,[10][11][12][13][14] ; lavage and debridement of the ankle joint may help the postoperative range of motion recover more quickly 1,15,16 ; and the quality of the intra-articular reduction is assessed. 2,3,5,8,13,14 Although arthroscopy has been proved to be a powerful tool in managing many ankle diseases, 17,18 given the lack of clinical proof, Glazebrook et al 17 classified AORIF for acute ankle fractures as having "insufficient or conflicting evidence not allowing a recommendation for or against intervention.…”

Treatment of Osteochondral Lesions of the Talus in Athletes

“…하지만 주된 원인은 급성 발목 손상이며 많은 연구를 통하여 거골의 골연골 병변은 발목 골절이나 염좌가 발생하였을 경우 50% 이상에서 동반된다고 보고되고 있다 2,4,5) . 또한, 거골의 연골 손상의 23% 는 외측 만성 발목 불안정과 연관이 있어 인대 재건술을 시행한 후에도 지속적인 통증의 원인이 될 수 있다 6) .…”