title: Arthroscopic Debridement of Pediatric Accessory Anterolateral Talar Facet Causing Impingement.
abstract: Symptomatic subfibular and/or lateral talocalcaneal impingement in pediatric patients may result from an accessory anterolateral talar facet (AALTF). This impingement may cause pain and disability and may limit athletic performance in high-level athletes. We report the case of a 12-year-old female competitive gymnast who had refractory, lateral-sided right ankle pain for 4 months and underwent right ankle arthroscopic resection of the AALTF causing impingement. Standard medial and anterolateral portals with the addition of an accessory anterolateral-distal portal were used in conjunction with a 30° 2.7-mm-diameter arthroscope. The AALTF was resected with a combination of a shaver and a motorized rasp. Intraoperative fluoroscopy was used to verify successful debridement of the bony facet. This case illustrates that arthroscopic debridement is a technique to treat subfibular and/or talocalcaneal impingement associated with an AALTF.
authors.affiliation: Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Neumann
authors.affiliation: Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Mannava
authors.affiliation: Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Gross
authors.affiliation: Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Wooster
authors.affiliation: Department of Orthopaedic Surgery, Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Busch