title: Ossicles associated with chronic pain around the malleoli of the ankle.
abstract: We undertook a retrospective review of 24 arthroscopic procedures in patients with symptomatic ossicles around the malleoli of the ankle. Most of the patients had a history of injury and localised tenderness in the area coinciding with the radiological findings. Contrast-enhanced three-dimensional fast-spoiled gradient-echo MRI was performed and the results compared with the arthroscopic findings. An enhanced signal surrounding soft tissue corresponding to synovial inflammation and impingement was found in 20 patients (83%). The arthroscopic findings correlated well with those of our MRI technique and the sensitivity was estimated to be 91%. At a mean follow-up of 30.5 months (20 to 86) the mean American Orthopaedic Foot and Ankle Society score improved from 74.5 to 93 points (p < 0.001). Overall, the rate of patient satisfaction was 88%. Our results indicate that symptomatic ossicles of the malleoli respond well to arthroscopic treatment.
authors.affiliation: Department of Orthopaedic Surgery, Ajou University School of Medicine, Wonchon-Dong, Yeongtong-Gu, Suwon 443-721, South Korea.
authors.forename: S H
authors.initials: SH
authors.lastname: Han
authors.forename: W J
authors.initials: WJ
authors.lastname: Choi
authors.forename: S
authors.initials: S
authors.lastname: Kim
authors.forename: S-J
authors.initials: SJ
authors.lastname: Kim
authors.forename: J W
authors.initials: JW
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000842:Ankle / Q000473:pathology* / Q000601:surgery; D016512:Ankle Injuries / Q000473:pathology* / Q000601:surgery; D000843:Ankle Joint / Q000473:pathology* / Q000601:surgery; D001847:Bone Diseases / Q000175:diagnosis / Q000601:surgery; D002908:Chronic Disease; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity