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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2004 December;55(6):257-63
Arthroscopy of the ankle in athletes
Salvi A. E. 1, Metelli G. P. 2, Pazzaglia U. E. 1
1 2° Divisione di Ortopedia e Traumatologia Clinica Ortopedica e Traumatologica Università degli Studi di Brescia, Brescia
2 Divisione di Ortopedia e Traumatologia Azienda Ospedaliera Mellino Mellini Presidio Ospedaliero di Iseo, Brescia
Aim. The aim of the study was to evaluate the causes of the ankle pain of some athletes as a consequence of sprains and bruises of the ankle treated at first with plaster; therefore, an arthroscopic investigation of their tibio-tarsal joint was carried out.
Methods. From January to December 2001 at the Orthopedic and Traumatologic Division of the Civil Hospital of Iseo (Brescia), 8 athletes (6 males, 2 females) were submitted to arthroscopic investigation; they suffered from sprains and bruises, ligament instability and partial ligament rupture treated conservatively with plaster.
Results. Arthroscopy showed 7 cases of arthrosynovitis, 3 cases of talus osteochondritis, 2 cases of anterior tibial osteophytosis, 2 cases of anterior astragaloperoneal lesions, 2 cases of ossicles, 1 case of deltoid ligament lesion and 1 case of malleolus lateralis fracture. The arthroscopic treatment permitted full pain disappearance and full return to their sport activities according to the Olerud and Molander ankle score.
Conclusion. Although ankle is a joint very often involved in sport injuries, it is not always treated suitably. By using the arthroscopic techniques, it is possible to find and resolve painful pathologies, not adequately treated with traditional casting, leading to a full joint restoration.