Cuellar-Avaroma A, Doger-Echegaray P, King-Martínez A C
Hospital Médica Sur. México.
División Ortopedia Hospital General «Dr. Manuel Gea González». México.
Acta Ortop Mex. 2020 Nov-Dec;34(6):382-387.
The anterior ankle impingement is a common pathology. It is mostly seen in athletes. Pain in the anterior portion of the ankle and limitation in the ankle's dorsiflexion are the most common symptoms. These lesions are commonly preceded by an inversion movement most commonly during soccer.
This is a observational, descriptive, prospective and longitudinal study of 52 consecutive patients with anterior ankle impingement in whom an anterior ankle arthroscopy was perform. The objective is to know the clinical follow-up at least one year. We evaluated numeric pain scale, functional outcomes and personal satisfaction.
Of the 52 patients, we had 36 males, and 16 females. Pain scale moved from 5.75 to 0.98 points. The AOFAS scale moved from 73.65 preoperative to 92.98 postoperatively the SFMCP scale went form 72.44 preoperative to 94.48 postop. 23 patients (44.23%) returned to there previous level of sport with in four to seven months form the intervention.
Arthroscopic treatment of the anterior ankle impingement showed significant improvement to 12 months of follow-up. The return to sports activity at the same level prior to the injury was four to seven months.
踝关节前部撞击是一种常见的病理状况。多见于运动员。踝关节前部疼痛和踝关节背屈受限是最常见的症状。这些损伤通常在足球运动中最常见的内翻动作之后出现。
这是一项对52例连续接受踝关节前部关节镜检查的踝关节前部撞击患者进行的观察性、描述性、前瞻性和纵向研究。目的是了解至少一年的临床随访情况。我们评估了数字疼痛量表、功能结果和个人满意度。
52例患者中,男性36例,女性16例。疼痛量表评分从5.75分降至0.98分。美国矫形足踝协会(AOFAS)评分从术前的73.65分升至术后的92.98分,西班牙穆尔西亚足踝临床量表(SFMCP)评分从术前的72.44分升至术后的94.48分。23例患者(44.23%)在干预后四至七个月恢复到之前的运动水平。
踝关节前部撞击的关节镜治疗在随访12个月时显示出显著改善。受伤前恢复到相同运动水平的时间为四至七个月。