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THE ARTHROSCOPIC TREATMENT OF ANTERIOR ANKLE IMPINGEMENT IN ATHLETES

AIM: The purpose of our study was to evaluate the results of
arthroscopic treatment of anterior ankle impingement. Patients and
methods: By using preoperative radiographs, we grouped 23 patients
according to the extent of their osteoarthritis. The symptoms of those
with grade-0 (5- patients) could be attributed to anterior soft tissue
impingement only, in those with grade-I (13 patients) to anterior soft
tissue and osteophytic impingement and those with grade-II (5-patients)
in narrowing of the joint cavity accompanied by osteophytic
impingement. We used anteromedial and anterolateral portals for
osteophytic debridment and partial synoviectomy. The results were
evaluated recordnig five parameters (pain, swelling, stiffness,
limping, activity) in the Ogilvie-Harris score system. Follow up period
was 2 years. Results: The success of the patient treatment was
confirmed with statistical significant improvement in all five
parameters. Conclusion: Arthroscopic excision of soft tissue
overgrowths and osteophytes is proved to be Key words: ankle,
impingement, arthroscopy