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KMID : 0896720020060010124
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.124 ~ p.128
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Medial impingement syndrome of the ankle associated with large anteromedial osteophyte of talus -A case report-
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Yu Sun-O
Kim Jong-Jin
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Abstract
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After a severe ankle sprain, the incidence of residual complaints, particularly on the medial side of the joint, is high. We experienced a case of medial impingement between medial malleolus and anteromedial osteophyte of talus, specially in the dorsiflexion of the right ankle. Twenty five-year-old male was complained tenderness and chronic pain over the medial side of the right ankle for 3 years after an inversion sprain of the ankle. To plain radiography revealed a bony osteophyte on the anteromedial side of talus. The patient was treated by the open arthrotomy of the ankle. At surgery, impingement between articular surface of medial malleolus and osteophyte of the talus was observed when ankle dorsiflexion was done. Chondral lesion of medial malleolus and chondromalacic degeneration on anteromedial talus was viewed. Surgical removal of osteophyte on talus and debridement and multiple drilling of chondral lesion on medial malleolus was done. The symptom was improved. After postoperative 1 year, recurrence was not.
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KEYWORD
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Ankle, Medial impingement, osteophyte.
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