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
Abstract :
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.
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.
