Arthroscopic Treatment of Sports-Related Anterior Osteophytes in the Ankle
- 1 October 1988
- journal article
- case report
- Published by SAGE Publications in Foot & Ankle
- Vol. 9 (2), 87-90
- https://doi.org/10.1177/107110078800900205
Abstract
Osteophytes on the anterior aspect of the tibia and anterior talus are common in athletes such as dancers, runners, and high jumpers who impact with quick and forceful dorsiflexion to this area. This pathology is often confirmed easily on lateral x-ray films. Excision, debridement, and/or abrasion arthroplasty can be performed arthroscopically to remove osteophytic bone. The joint space is easily approached and managed using small joint or even regular-sized arthroscopic instruments. Care is taken to reshape the anterior tibia and/or talus to its original contour, thus avoiding impingement of the joint space and scuffing of adjacent articular cartilage. Proper abrasion depths and punch lesions may be needed to expose bleeding capillary bone. This allows a regeneration of a fibrocartilage covering that not only decreases pain but also permits a return to functional and athletic activities. Postoperative treatment, including physical therapy, is described. Three case studies are presented that adequately demonstrate this problem, along with the corrective measures taken. Each case concludes with a brief summary of follow-up.Keywords
This publication has 10 references indexed in Scilit:
- Arthroplasty of the elbow. Twenty years' experience of a new approachThe Journal of Bone and Joint Surgery. British volume, 1987
- Foot and Ankle Injuries in Theatrical DancersFoot & Ankle, 1985
- Ankle ArthroscopyPublished by Wolters Kluwer Health ,1984
- Preliminary Results with Abrasion Arthroplasty in the Osteoarthritic KneeClinical Orthopaedics and Related Research, 1984
- Ankle Arthroscopy: Approaches and TechniqueOrthopedics, 1983
- The Role of Arthroscopy in the Diagnosis and Treatment of Disorders of the AnkleFoot & Ankle, 1981
- Arthroscopic Debridement for Degenerative Knee Joint DiseaseClinical Orthopaedics and Related Research, 1981
- Normal and Osteoarthritic Articular CartilageOrthopedic Clinics of North America, 1979
- The Reaction of Articular Cartilage to Injury and OsteoarthritisNew England Journal of Medicine, 1974
- The Reaction of Articular Cartilage to Injury and OsteoarthritisNew England Journal of Medicine, 1974