Note: To access the video accompanying this report, visit the July issue of Arthroscopy at www.arthroscopyjournal.org.
Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original Article With Video IllustrationCartilage Lesions in Anterior Bony Impingement of the Ankle
Section snippets
Methods
The data from a clinical database were evaluated for 351 consecutive patients (364 ankles) who had undergone an arthroscopic examination for chronic ankle pain between January 2004 and January 2009. We excluded patients who had spurs with joint space narrowing, because articular cartilage lesions were obvious in these cases. Patients were also excluded if their spurs were associated with cartilage changes, including an osteochondral lesion of the talus (OCL), inflammatory arthropathy, and
Results
The relation between the McDermott scale and clinical characteristics is shown in Table 1. The duration of pain, degree of sports activity, and presence of instability showed no relation to spur severity. According to the McDermott scale, 28 ankles (49.1%) were grade 1, 1 (1.8%) was grade 2, and 28 (49.1%) were grade 3. Cartilage lesions were present in 46 ankles (80.7%); these were mainly located in the anterior half of the talar dome, corresponding to the mediolateral location of the tibial
Discussion
It has been suggested that anterior spurs of the ankle are associated with cartilage lesions.7, 9, 10 Although arthroscopic findings for ABI have been documented, there is no report regarding the correlation of spur severity with the degree of cartilage lesions in ABI.
We used plain lateral and mortise radiographs to assess spur severity,7, 14, 16 because talar spurs are often not visualized on lateral radiographs. Although 3-dimensional CT has proved to be an excellent tool to clarify the shape
Conclusions
The results of this study suggest that cartilage lesions are present even in ankles with small spurs and that the degree of cartilage lesions increases as spurs become larger.
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Anterior Ankle Impingement
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2023, Journal of Foot and Ankle ResearchPersistent pain after operative treatment for chronic lateral ankle instability
2021, Orthopedic Research and ReviewsRisk Factors for Osteochondral Lesions and Osteophytes in Chronic Lateral Ankle Instability: A Case Series of 1169 Patients
2020, Orthopaedic Journal of Sports Medicine
The authors report no conflict of interest.