J Korean Foot Ankle Soc.
2010 Dec;14(2):115-118.
Ankle Lesions, Associated with Anterior Soft Tissue Impingement
- Affiliations
-
- 1Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea. cnkang65@hanyang.ac.kr
Abstract
- PURPOSE
To evaluate clinical features of ankle lesions, associated with anterior soft tissue impingement.
MATERIALS AND METHODS
We retrospectively reviewed 21 patients who had chronic anterior ankle pain as initial symptom and associated ankle lesions with anterior soft tissue impingement. Based on preoperative radiologic findings, physical examination intra-operative findings, appropriate procedures were done for lesions by either arthroscopic or minimal open procedure or combined. Clinical evaluation was done using American Orthopedic Foot and Ankle Society, ankle-hind foot score (AOFAS score) and visual analog scale (VAS) on last follow up.
RESULTS
Associated lesion(s) to anterior soft tissue impingement of the ankle were 16 cases of osteochondral lesion of talus, 14 cases of bony impingement, 6 cases of ankle lateral instability, 5 cases of loose body, 4 cases of os subfibulare. AOFAS score was 58.9 +/- 5.1 preoperatively and 74 +/- 9.1 on last follow up. Clinical satisfaction score using VAS showed excellent in 3 cases, good in 11, fair in 3, poor in 4.
CONCLUSION
The patients who had anterior soft tissue impingement would have various associated lesions on their ankle. In such cases, preoperative counseling for variety of postoperative results would be needed.
