[Arthroscopy for anterior joint pathology at the upper ankle joint --pathogenesis, therapy and results].
The conservative treatment of chronic ankle pain and at the so-called "footballer's joint" is of limited success. Arthroscopy is a possibility of operative treatment. 25 arthroscopies were carried out at the upper ankle joint at anterior joint pathology from January 1998 to June 1999. 21 patients could be examined in a median follow-up of 16 months (4-24). The median age was 31 years (17-56; female: 6, male: 15). Synovilitis was found in all cases. In 9 cases exophytes of the tibia, in 10 cases osteochondral lesions and in 7 cases antero-lateral impingement ware seen. The preoperative Score of Mazur of median 63 (21-85) points showed a significant raise (p < 0.05) in follow-up to median 93 (81-100) points. The complete athletic rehabilitation could be restored in 2/3 of the patients. The conservative therapy represents a good method of treatment chronic troubles in the upper ankle joint. Arthroscopy is indicated if no recovery can be attained.
Rose
T
T
Klinik für Unfall- und Wiederherstellungschirurgie, Universität Leipzig. rost@medizin.uni-leipzig.de
Lill
H
H
Hepp
P
P
Josten
C
C
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery; D010166:Palliative Care; D016896:Treatment Outcome