The double posteromedial portals endoscopy for posterior ankle impingement syndrome in athletes

Autor: Nicola Maffulli, Rocco Aicale, Filippo Migliorini, Emilio Wagner, Amol Saxena, Francesco Oliva
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Orthopaedics and Traumatology, Vol 23, Iss 1, Pp 1-6 (2022)
Druh dokumentu: article
ISSN: 1590-9921
1590-9999
DOI: 10.1186/s10195-022-00651-w
Popis: Abstract Background Posterior ankle impingement syndrome (PAIS) may result from flexor hallucis longus tendinopathy, compression of the posterior process of the talus from the presence of an os trigonum, soft-tissue impingement, or a combination of these. Posterior extra-articular endoscopy performed with the patient supine through the double posteromedial portals, with excision of adhesions, excision of the posterior process of the talus or an os trigonum, and decompression of the tendon of the flexor hallucis longus (FHL), can be used in athletes with PAIS. Methods Thirty-four athletes with PAIS in whom conservative management had failed underwent posterior ankle endoscopy in the supine position using the double posteromedial portals. The patients were assessed pre- and postoperatively using the American Orthopaedic Foot and Ankle Society hindfoot scale score, the Tegner scale, and the simple visual analogue scale. Time of surgery, return to sports, patient satisfaction, and complications were recorded and analysed. The average length of postoperative follow-up was 26.7 ± 12.6 (range 24 to 72) months. Results The mean Tegner activity scale score improved to 9 ± 0.2 postoperatively (p
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