Background:
Ankle impingement is a common orthopedic problem in sports athletes. It usually results from repetitive ankle sprains that may lead to long lasting pain compromising the athlete’s performance. Impingement syndromes of the ankle involve either osseous or soft tissue impingement and can be anterior, anterolateral, or posterior. Pain is typically provoked by dorsiflexion of the ankle and palpation of the tibiotalar anterior joint space.
Objective: evaluation of the outcome of arthroscopic treatment of the anterior bony ankle impingement syndrome.
Patients and Methods:
Fifteen patients (Twelve men, and three women) with mean age 37.7 years (27–52 years) complained of chronic ankle pain were diagnosed as bony anterior impingement of the ankle, grades I–III lesions due to a trauma without therapeutic response to conservative therapy over 3 months, were treated by arthroscopic excision of bony spur and debridement of the impingement tissues. The evaluation of the results was done with the AO FAS (American Orthopedics Foot and Ankle Society) hindfoot score. The study was designed as a retrospective case series.
Results: At the end of follow-up 7 patients had excellent score and were very satisfied with the results and 6 patients had good score and were satisfied with the results, so about 86.7% had excellent or good results. Two patients had fair results, accounting for 13.3% of all patients, and no poor result.
Conclusion:
Arthroscopic resection of the bony spurs either tibial or talar or both after repeated ankle sprain was proven to be a reliable therapy for a posttraumatic impingement syndrome of the ankle that does not respond to conservative treatment.
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