TY - JOUR
T1 - Associated Intra-articular Ankle Pathologies in Patients With Chronic Lateral Ankle Instability
T2 - Arthroscopic Findings at the Time of Lateral Ankle Reconstruction
AU - Lee, Jake
AU - Hamilton, Graham
AU - Ford, Lawrence
PY - 2011/10
Y1 - 2011/10
N2 - Chronic lateral ankle instability (CLAI) can be a debilitating condition. The literature has shown that it is also associated with a number of intra-articular pathologies of the ankle. Some argue that if unaddressed, these intra-articular pathologies can predispose patients to osteoarthritis. Previous studies of patients who underwent prelateral stabilization ankle arthroscopy have shown a high number of pathologies, including osteochondral lesions of the talus. Purpose: The current study reviewed a consecutive series of patients diagnosed with CLAI who underwent ankle arthroscopy followed by a modified Brostrom-Gould procedure to validate the previous studies. Methods: Intraoperative reports on 28 ankles in 28 consecutive patients were reviewed from 2004 to 2008. Result: All 28 ankles (100%) demonstrated varying degrees of synovitis. Talar cartilage fibrillation was observed in 7 patients (25%), and talar dome cartilage defect was visualized in 4 patients (14%). Talar dome osteochondral defect was seen in 2 patients (7%), loose bodies were found in 3 patients (11%), Bassett's lesion was seen in 2 patients (7%), and anterolateral impingement was seen in 4 patients (14%). Distal anterior tibial osteophytosis was seen in 4 patients (14%). Conclusion: This study confirms the high number of intra-articular pathologies in association with CLAI. Level of Evidence: Therapeutic, Level IV.
AB - Chronic lateral ankle instability (CLAI) can be a debilitating condition. The literature has shown that it is also associated with a number of intra-articular pathologies of the ankle. Some argue that if unaddressed, these intra-articular pathologies can predispose patients to osteoarthritis. Previous studies of patients who underwent prelateral stabilization ankle arthroscopy have shown a high number of pathologies, including osteochondral lesions of the talus. Purpose: The current study reviewed a consecutive series of patients diagnosed with CLAI who underwent ankle arthroscopy followed by a modified Brostrom-Gould procedure to validate the previous studies. Methods: Intraoperative reports on 28 ankles in 28 consecutive patients were reviewed from 2004 to 2008. Result: All 28 ankles (100%) demonstrated varying degrees of synovitis. Talar cartilage fibrillation was observed in 7 patients (25%), and talar dome cartilage defect was visualized in 4 patients (14%). Talar dome osteochondral defect was seen in 2 patients (7%), loose bodies were found in 3 patients (11%), Bassett's lesion was seen in 2 patients (7%), and anterolateral impingement was seen in 4 patients (14%). Distal anterior tibial osteophytosis was seen in 4 patients (14%). Conclusion: This study confirms the high number of intra-articular pathologies in association with CLAI. Level of Evidence: Therapeutic, Level IV.
KW - ankle arthroscopy
KW - Brostrom
KW - chronic lateral ankle instability
KW - osteochondral defect
UR - http://www.scopus.com/inward/record.url?scp=84874855825&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84874855825&partnerID=8YFLogxK
U2 - 10.1177/1938640011416355
DO - 10.1177/1938640011416355
M3 - Article
C2 - 21926361
AN - SCOPUS:84874855825
SN - 1938-6400
VL - 4
SP - 284
EP - 289
JO - Foot & Ankle Specialist
JF - Foot & Ankle Specialist
IS - 5
ER -