title: Posttraumatic soft tissue impingement of the ankle: arthroscopic findings and surgical outcomes.
abstract: Painful conditions and limited dorsal flexion of the ankle, which are the result of the friction of joint tissues and also the cause and the effect of altered joint biomechanics, are called ankle impingement syndromes. Post-traumatic ankle injures, like an ankle sprains or ankle fractures, are the main causes of impingement lesions, which result in chronic ankle pain.
  
  
  OBJECTIVE
  To evaluate the results for patients treated arthroscopically for anterolateral soft tissue impingement after ankle injury.
  
  
  METHODS
  Twelve patients underwent operative arthroscopy for anterolateral impingement between 2010 and 2012, A retrospective study with a mean follow up of 1 year. There were 7 females and 5 males, average age 44.1 years.
  
  
  RESULTS
  Preoperative American ankle and foot score was average, 68 (63-71) points and after the operation 92 (87-95) points.
  
  
  CONCLUSIONS
  Soft tissue impingement of the talocrural joint shows painful and limited dorsal flexion and plantar extension, effusion and joint line tenderness especially in the anterolateral gutter. Arthrofibrosis following ankle fractures causes an unfavorable surgical outcome, and arthroscopic debridement of fibrous tissue is an effective means of improving articular function.
authors.affiliation: Filip Vtori Special Hospital for Surgical Diseases, Skopje, R. Macedonia.
authors.forename: Konstantin
authors.initials: K
authors.lastname: Mitev
authors.affiliation: Filip Vtori Special Hospital for Surgical Diseases, Skopje, R. Macedonia.
authors.forename: Saso
authors.initials: S
authors.lastname: Mladenovski
authors.affiliation: Filip Vtori Special Hospital for Surgical Diseases, Skopje, R. Macedonia.
authors.forename: Igor
authors.initials: I
authors.lastname: Kaftandziev
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000843:Ankle Joint / Q000473:pathology* / Q000601:surgery; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement / Q000379:methods*; D005260:Female; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies