Arthroscopic Treatment and Prognostic Classification of Anterior Soft Tissue Impingement of the Ankle
| Autor: | Matteo Baldassarri, Roberto Buda, Sandro Giannini, Gherardo Pagliazzi, Marco Cavallo, Francesco Castagnini, Alessandro Parma |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Physical examination Body Mass Index Arthroscopy 03 medical and health sciences Sex Factors 0302 clinical medicine Soft tissue impingement Prognostic classification medicine Humans Orthopedics and Sports Medicine 030222 orthopedics medicine.diagnostic_test business.industry Magnetic resonance imaging 030229 sport sciences Prognosis Magnetic Resonance Imaging Surgery Patient Outcome Assessment medicine.anatomical_structure Debridement Etiology Female Ankle business Anterior soft tissue impingement Ankle Joint Follow-Up Studies |
| Zdroj: | Foot & Ankle International. 37:33-39 |
| ISSN: | 1944-7876 1071-1007 |
| Popis: | Background: Anterior soft tissue impingement of the ankle has been described based on the etiology and location, but no classification has been reported. Arthroscopic treatment is usually considered effective, even if the behavior of the different forms of impingement is not clear. The purpose of this study was to analyze the factors affecting long-term results. Methods: Forty-two patients with a mean age of 32.6 years were arthroscopically treated between 2004 and 2008. Impingement lesions were identified according to clinical examination and confirmed by MRI. Soft tissue impingement was detected and classified according to location (anteromedial, anterolateral, syndesmotic or diffuse). Patient data, foot morphology, and previous trauma or surgery were recorded. Patients were evaluated after a mean of 90.1 months’ follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) scoring system. Results: The mean AOFAS score improved from 40.6 preoperatively to 82.6, 78.4, and 74.8, respectively, at the 2-, 4-, and 6-year follow-ups ( P < .05). The anterolateral form showed higher scores compared to the diffuse or anteromedial forms. Age, foot morphology, and previous trauma or surgery did not affect the results. Body mass index of more than 26 and male gender were associated with worse outcomes. Conclusion: Arthroscopic debridement proved effective in the treatment of soft tissue impingement. Furthermore, we were able to classify the location of the anterior soft tissue impingement of the ankle, which may have prognostic importance. Level of Evidence: Level IV, case series. |
| Databáze: | OpenAIRE |
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