Effectiveness of Arthroscopic Decompression in the Treatment of Anterolateral Ankle Impingement Syndrome: A Systematic Literature Review


Authors : Mohamed Sakr; Ahmed Elnewishy

Volume/Issue : Volume 7 - 2022, Issue 11 - November

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3EZcOBl

DOI : https://doi.org/10.5281/zenodo.7359179

Chronic ankle pain following an inversion injury is frequently brought on by soft tissue impingement of the ankle, which commonly arises at the ankle joint's lateral and/or anterolateral compartment. Anterolateral impingement could happen in roughly 3% of ankle sprains. In this systemic review we aimed to highlight the prevalence of ankle impingement syndrome, and to evaluate the effectiveness of arthroscopic decompression in such instance. A total of 246 cases were included 135 were males and mean age was 29.6 years,The mean follow upperiod among included studies was 29.5 months min-max 15-83.7. The maincomplaints were pain, ankle edema, limited motion in the ankle, and minimal functional activities. Mean American Orthopedic Foot and Ankle Society (AOFAS) score pre was 40.75 which increased post treatment to 84.2. According to Meislen criteria patients showed excellent in 124 cases, good in 71 cases, fair in 14 cases and poor in three cases. Mobility is normal in 130 cases. Complications founded among 24 cases after treatment in form of hypoesthesia in 4 cases, infection in 2 cases, injuries in 7 cases, Intraarticular haemarthrosis 1 case, abnormal scar tissue in 3 cases, nerve irritation in 1 case, numbness in 2 cases. Patients were highly satisfied. In conclusion, we think that arthroscopic debridement of the soft tissues associated with anteromedial impingement is a good, efficient approach to therapy. Anterolateral ankle impingement treated with an arthroscopic procedure has considerable therapeutic advantages for pain treatment and a speedy return to daily physical and athletic activity. Technically, distraction is not needed; that decreases the occurrence of complications. In the majority of instances, the result was satisfactory, with pain and function considerably improved. The technique was shown to be safe, with little morbidity and complications. Patients who continue to experience pain, tenderness, and symptoms of instability despite receiving conservative therapy are great candidates for arthroscopic because it has been shown to be effective and safe with minimum morbidity and fewer complications.

Keywords : Arthroscopic Decompression; Anterolateral Ankle Impingement Syndrome.

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