Arthroscopy: The Journal of Arthroscopic & Related Surgery
Technical NoteA 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology*
Section snippets
Operative technique
The patient is placed in prone position. A tourniquet is applied and a small support is placed under the lower leg, making it possible to move the ankle freely. The posterolateral portal is made at the level or slightly above the tip of the lateral malleolus, just lateral to the Achilles tendon. After making a vertical stab incision, the subcutaneous layer is split by a mosquito clamp. The mosquito clamp is directed anteriorly, pointing in the direction of the interdigital webspace between the
Discussion
Posterior ankle impingement syndrome; os trigonum syndrome; tendinitis of the FHL, posterior tibial tendon, or peroneal tendons; post-traumatic calcifications; bony avulsions; osteochondral defects; ankle and subtalar arthrosis; synovitis; loose bodies and their combinations can all be the cause of posterior ankle pain.5 It is difficult to distinguish these various causes of posterior ankle pain by medical history and clinical examination alone. Radiologic and scintigraphic diagnostics and/or a
References (6)
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Progress in ankle arthroscopy
Clin Orthop Rel Res
(1989)
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Address correspondence and reprint requests to C. Niek van Dijk, M.D., Ph.D., Academic Medical Center, Department of Orthopaedic Surgery, PO Box 22700, 1100 DE Amsterdam, The Netherlands. E-mail: [email protected]