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Correlation of stress radiographs to injuries associated with lateral ankle instability

World Journal of Orthopedics 2021年第9期12卷 710-719页

作者： Joshua W Sy Andrew J Lopez Gregory E Lausé J Banks Deal Michael B Lustik Paul M Ryan Department of Orthopaedic Surgery Tripler Army Medical CenterHonoluluHI 96859United States Department of Statistics Tripler Army Medical CenterHonoluluHI 96859United States

BACKGROUND Stress radiographs have demonstrated superior efficacy in the evaluation of ankle *** To determine if there is a degree of instability evidenced by stress radiographs that is associated with pathology concomitant with ankle ligamentous *** A retrospective review of 87 consecutive patients aged 18-74 who had stress radiographs performed at a single institution between 2014 and 2020 was *** manual radiographic stress views were then correlated with magnetic resonance imaging and operative *** A statistically significant association was determined for the mean and median stress radiographic values and the presence of peroneal pathology(P=0.008 for tendonitis and P=0.020 for peroneal tendon tears).A significant inverse relationship was found between the presence of an osteochondral defect and increasing degrees of instability(P=0.043).CONCLUSION Although valuable in the clinical evaluation of ankle instability,stress radiographs are not an independent predictor of conditions associated with ankle in-stability.

关键词： ankle stress radiographs lateral ankle instability Osteochondral defect Arthroscopy Peroneal tendinopathy

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ankle Arthroscopy,lateral Ligament Repair and Peroneal Tendon Reefing for Chronic lateral ankle instability:The Triad vs Arthroscopy with Ligament Repair

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Surgical Science 2015年第9期6卷 403-411页

作者： John J.Anderson Loren K.Spencer Zflan Fowler Alamogordo Orthopedics AlamogordoNMUSA

Peroneal tendon and retinacular pathology contributes to chronic lateral ankle instability. The “gold standard” surgical treatment for chronic lateral ankle instability has been the Brostrom-Gould procedure with its modifications. An ankle arthroscopy is an adjuvant procedure to address any intra-articular pathology. We review our results of two study groups. The first group underwent an ankle arthroscopy and a Brostrom-Gould procedure. The second group (triad) underwent an ankle arthroscopy, the Brostrom-Gould procedure and excision of low lying peroneal muscle belly with tightening of the inferior peroneal retinaculum. The triad technique was performed on 97 patients and results compared to 71 ankle arthroscopies with the Brostrom-Gould procedure. The patients were contacted at a mean follow-up time of 30 months for postoperative ACFAS scores, VAS scores, and overall satisfaction. Patients were also asked to report incidence of ankle sprain recurrence. The average postoperative ACFAS hindfoot and ankle score was 92 for the triad group and 89 for the arthroscopic debridement and Brostrom-Gould group. The average overall satisfaction was 98% in the triad group and 91% in the scope and Brostrom group. There were 4 (4.3%) recurrences in the triad group and 12 (17.6%) in the Brostrom-Gould with scope group. Each group had a similar incidence of wound healing complications. Peroneal tendon and retinacular pathology contributes to continued ankle instability and pain. We believe that the triad procedure is superior to the Brostrom-Gould procedure.

关键词： Brostrom-Gould lateral ankle instability Triad Procedure

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