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Arthroscopic Treatment of Anterior Ankle Impingement

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Sports Injuries of the Foot and Ankle

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Abstract

Anterior ankle impingements are very frequent syndromes after ankle sprains. The diagnosis is clinical and based on physical examination and palpation. Anteromedial ankle impingement is a very simple entity with a quite constant bony impingement due to osteophytes. Arthroscopic removal of synovitis and osteophytes provides very good results. Antero-lateral impingement is very frequent but must alert on an occult or misdiagnosed chronic ankle impingement. Antero-lateral impingement is usually a soft tissue impingement, and recent studies showed that this syndrome is closely linked to instability with micro-instability and rotational instability. In these conditions, arthroscopy is the best tool not only to assess this impingement and the pathologic ligament but also to perform a localized antero-lateral synovectomy and a ligament repair.

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Author information

Authors and Affiliations

  1. Orthopedic Department, Ambroise Paré University Hospital, West Paris University, Boulogne-Billancourt, France

    Thomas Bauer

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  1. Thomas Bauer
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Editor information

Editors and Affiliations

  1. Centre of Sports Traumatology Koelliker Hospital, Torino, Italy

    Gian Luigi Canata

  2. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

  3. Department of Orthopedics, University of Colorado Hospital, Aurora, CO, USA

    Kenneth J. Hunt

  4. Department of Orthopedic Surgery, University of Amsterdam Academic Medical Center, Amsterdam Zuidoost, Noord-Holland, The Netherlands

    Gino M.M.J. Kerkhoffs

  5. Orthopaedics and Traumatology Unit, University Campus Bio medico, Rome, Italy

    Umile Giuseppe Longo

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Bauer, T. (2019). Arthroscopic Treatment of Anterior Ankle Impingement. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_17

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  • DOI: https://doi.org/10.1007/978-3-662-58704-1_17

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  • Online ISBN: 978-3-662-58704-1

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