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KMID : 1130920100140020115
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Journal of Korean Foot and Ankle Society
2010 Volume.14 No. 2 p.115 ~ p.118
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Ankle Lesions, Associated with Anterior Soft Tissue Impingement
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Sung Il-Hoon
Kim Suk-Hwan
Shim Kyu-Dong
Lee Joon-Hwan
Kang Chang-Nam
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Abstract
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Purpose: To evaluate clinical features of ankle lesions, associated with anterior soft tissue impingement.
Materials and Methods: We retrospectively reviewed 21 patients who had chronic anterior ankle pain as initial symptom and associated ankle lesions with anterior soft tissue impingement. Based on preoperative radiologic findings, physical examination intra-operative findings, appropriate procedures were done for lesions by either arthroscopic or minimal open procedure or combined. Clinical evaluation was done using American Orthopedic Foot and Ankle Society, ankle-hind foot score (AOFAS score) and visual analog scale (VAS) on last follow up.
Results: Associated lesion(s) to anterior soft tissue impingement of the ankle were 16 cases of osteochondral lesion of talus, 14 cases of bony impingement, 6 cases of ankle lateral instability, 5 cases of loose body, 4 cases of os subfibulare. AOFAS score was 58.9 ± 5.1 preoperatively and 74 ± 9.1 on last follow up. Clinical satisfaction score using VAS showed excellent in 3 cases, good in 11, fair in 3, poor in 4.
Conslusion: The patients who had anterior soft tissue impingement would have various associated lesions on their ankle. In such cases, preoperative counseling for variety of postoperative results would be needed.
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KEYWORD
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Ankle, Anterior soft tissue impingement, Associated lesions
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