Decompression of Posterior Ankle Impingement With Concomitant Anterior Ankle Pathology by Posterior Ankle Arthroscopy in the Supine Position

Abstract

Posterior ankle endoscopy is a safe and effective approach for treatment of posterior ankle impingement. This is usually performed with the patient in prone position. The purpose of this technical note is to describe an arthroscopic approach of decompression of posterior ankle impingement with the patient in supine position. This is indicated if there is posterior ankle impingement together with other ankle pathology requiring anterior ankle arthroscopy. This approach allows treatment of both anterior ankle and posterior ankle pathology with the patient in the supine position. Concomitant anterior ankle arthroscopy can be performed with the usual orientation without the need of change of patient's position.

Arthroscopic Management of Anterior Ankle Synovial Osteochondromatosis

“…If loose body or inflamed synovium is present in the posterior compartment, posterior ankle arthroscopy can be performed with the patient in the supine position. [13][14][15] The ankle joint proper can also be assessed for any pathology, such as osteochondral lesion. In this illustrated case, there is anterolateral ankle impingement.…”