2017
DOI: 10.1136/jisakos-2016-000082
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Posterior ankle arthroscopy: current state of the art

Abstract: The most common hindfoot pathologies seen in clinical practice and sports medicine are posterior ankle impingement and osteoarthrosis (OA). Both these—and other pathologies such as insertional tendinitis and Haglund’s disease—may cause significant disability, in both everyday life and during sporting activities. Post-traumatic OA alone causes a healthcare burden of over 3 billion US dollars per year. An adequate approach of these pathologies is required to minimise this healthcare burden and additionally to ma… Show more

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Cited by 10 publications
(16 citation statements)
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“…In contrast, plantar flexion takes tension off the tibial slip (posterior intermalleolar ligament), which may make it more prone to becoming entrapped between the tibia and the talus, leading to a posterior soft tissue impingement. 26 Tears of this structure have also been described, especially in professional dancers, basketball players, and other athletes, and are usually treated by excision. 1,3,14 In some of the arthroscopic and radiologic literature, the posterior ligaments are named differently than anatomic texts.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, plantar flexion takes tension off the tibial slip (posterior intermalleolar ligament), which may make it more prone to becoming entrapped between the tibia and the talus, leading to a posterior soft tissue impingement. 26 Tears of this structure have also been described, especially in professional dancers, basketball players, and other athletes, and are usually treated by excision. 1,3,14 In some of the arthroscopic and radiologic literature, the posterior ligaments are named differently than anatomic texts.…”
Section: Discussionmentioning
confidence: 99%
“…Rasmussen and Tovborg-Jensen (18) state that the PTFL plays a minor role in ankle stability when the rest of the lateral structures are intact. Golanó described this ligament arthroscopically in numerous occasions, highlighting that this is a intracapsular but extrasynovial ligament; therefore, it can be easily visualized during posterior ankle arthroscopy (4,34,35) (Figure 19).…”
Section: Posterior Talofibular Ligament (Ptfl)mentioning
confidence: 99%
“…13 Arthroscopic techniques have hence been developed and explored with the intention of minimizing complications, blood loss, postoperative pain, and shortening the process of rehabilitation. 14 Parisien et al 15 18 and range from bony, cartilaginous to soft tissue pathology: including extra-articular conditions such as PAIS, tenosynovitis or bursitis, tarsal tunnel syndrome and ligament avulsions, and intra-articular conditions such as posterior talus osteochondral lesions, avulsion fragments, osteophytes, loose bodies, and intraosseus talar ganglions. 19,20 Contraindications are mainly a local soft tissue infection, vascular disease, and severe osteoarthritis, which would preclude access to the posterior joint space.…”
mentioning
confidence: 99%
“…The current technique used in this paper is a two-portal posterior ankle arthroscopy, first described by Van Dijk et al 17 in 2000, showing similar results as open surgery but with less morbidity and faster recovery. Indications have been expanding as techniques improve 18 and range from bony, cartilaginous to soft tissue pathology: including extra-articular conditions such as PAIS, tenosynovitis or bursitis, tarsal tunnel syndrome and ligament avulsions, and intra-articular conditions such as posterior talus osteochondral lesions, avulsion fragments, osteophytes, loose bodies, and intraosseus talar ganglions. 19,20 Contraindications are mainly a local soft tissue infection, vascular disease, and severe osteoarthritis, which would preclude access to the posterior joint space.…”
mentioning
confidence: 99%