title: Arthroscopic treatment of patients with anterolateral impingement of the ankle with and without chondral lesions.
abstract: Anterolateral impingement syndrome is defined as chronic pain in the ankle secondary to soft tissue impingement, hypertrophy, or tearing of the lateral and anterolateral ligaments of the ankle. The purpose of the present study was to evaluate the results of arthroscopic treatment of anterolateral impingement syndrome and its association with chondral lesions. In this case series study, 23 patients with anterolateral impingement syndrome underwent arthroscopic debridement of the ankle. Simple radiography and magnetic resonance imaging were applied for all the patients to diagnose the spur condition and to exclude patients with other possible lesions. All the patients were evaluated preoperatively and at interval visits of 2, 4, and 6 weeks and 3 and 6 months postoperatively according to the American Orthopaedic Foot and Ankle Society criteria and Meislin score. The mean patient age was 38.13 ± 6.85 years. Significant differences were seen between the mean American Orthopaedic Foot and Ankle Society scores, which was 59.21 before surgery and 83.56 and 88.13 at 3 and 6 months postoperatively, respectively. No significant differences were seen between the American Orthopaedic Foot and Ankle Society scores of the patients with or without chondral lesions. Arthroscopic treatment of anterolateral impingement syndrome is recommended as the treatment of choice and is still considerably effective in patients with chondral lesions.
authors: Orthopedic Department, Guilan University of Medical Sciences, Rasht, Iran.
authors: Mohsen
authors: M
authors: Mardani-Kivi
authors: Ahmadreza
authors: A
authors: Mirbolook
authors: Sina
authors: S
authors: Khajeh-Jahromi
authors: Rasool
authors: R
authors: Hassanzadeh
authors: Keyvan
authors: K
authors: Hashemi-Motlagh
authors: Khashayar
authors: K
authors: Saheb-Ekhtiari
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000150:complications*; D000843:Ankle Joint / Q000601:surgery*; D018771:Arthralgia / Q000209:etiology / Q000601:surgery; D001182:Arthroscopy; D002357:Cartilage Diseases / Q000209:etiology / Q000601:surgery*; D002358:Cartilage, Articular / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013180:Sprains and Strains / Q000150:complications