Abstract
Posterior ankle arthroscopy has traditionally been associated with concern for injury
to the posterior tibial nerve and vessels, and this concern is greatest when the patient
is positioned supine. Positioning the patient prone could be a safer method for posterior
ankle arthroscopy. The purpose of this cadaver study was to determine the anatomic
safe zone devoid of vital structures relative to the posteromedial and posterolateral
arthroscopic portals created. In addition, exposure of the posterior ankle was evaluated
by direct visualization and fluoroscopy to determine the relative utility of these
portals. Based on our findings, which are consistent with other previously reported
results, we believe that a wide range of ankle pathology can be suited to treatment
by means of posterior arthroscopy with the patient in the prone position.
Level of Clinical Evidence
Keywords
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References
- Progress in ankle arthroscopy.Clin Orthop Relat Res. 1989; 240: 210-220
- Posterior ankle arthroscopy: an anatomic study.J Bone Joint Surg Am. 2002; 84: 763-769
- Posterior ankle arthroscopy portal safety regarding proximity to the tibial and sural nerves.Acta Orthop Belg. 2008; 74: 370-373
- A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology.Arthroscopy. 2000; 16: 871-876
- Outcomes of resection of a symptomatic os trigonum.J Bone Joint Surg Am. 2003; 85: 1051-1057
- Arthroscopic arthroplasty of the ankle joint.Clin Podiatr Med Surg. 1994; 11: 449-467
- Anterior tibiotalar spurs: a comparison of open versus arthroscopic debridement.Foot Ankle. 1992; 13: 125-129
- Arthroscopic excision of the os trigonum: a new technique with preliminary results.Foot Ankle Int. 1997; 18: 777-784
- Outcome of posterior ankle arthroscopy for hindfoot impingement.Arthroscopy. 2008; 24: 196-202
- Advancements in ankle arthroscopy.J Am Acad Orthop Surg. 2008; 16: 635-646
Article info
Publication history
Published online: September 24, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.