Iatrogenic posterior tibial nerve division during a combined anterior ankle arthroscopy with an additional posterolateral portal

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Iatrogenic posterior tibial nerve division during a combined anterior ankle arthroscopy with an additional posterolateral portal

Ankle arthroscopy is an important diagnostic and therapeutic technique in the management of ankle disorders. Nowadays ankle arthroscopy provides good to excellent results (up to 90%) in the treatment of certain intra-articular disorders. Due to the superficial location of ankle joint and the abundance of overlying neurovascular structures, complications reported in ankle arthroscopy are greater...

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Combined Posterior and Anterior Ankle Arthroscopy

Treatment of combined anterior and posterior ankle pathology usually consists of either combined anterior and posterior arthrotomies or anterior ankle arthroscopy with an additional posterolateral portal. The first technique bears the risk of complications associated with the extensive exposure, the latter technique provides limited access to the posterior ankle joint. A case is described of co...

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Posterior ankle arthroscopy portal safety regarding proximity to the tibial and sural nerves.

The aim of this cadaveric study was to assess the relative safety of posterior ankle arthroscopy portal sites regarding their distance from the tibial and sural nerves. We dissected 20 embalmed cadaveric lower limbs, carefully exposed the nerves, preserving their original position, and established the entry points of five posterior ankle portals using pins. We measured distances with a digital ...

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Posterior Ankle and Hindfoot Arthroscopy

Hindfoot pain can be caused by any part of the posterior ankle anatomy with bony and soft tissue, including os trigonum, large posterior talar process, tenosynovitis of the flexor hallucis longus tendon, osteochondral lesions of the talus, subtalar arthritis and arthrosis, prominent calcaneus posterior process and free bodies, such as synovial chondromatosis. Because these structures are deeply...

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An anatomical study of a new portal for ankle arthroscopy.

We describe a medial midline portal between the tendons of extensor hallucis longus and tibialis anterior for arthroscopy of the ankle. We dissected 20 cadaver specimens to compare the risk of neurovascular injury using this approach with that of using standard arthroscopic portals. Compared with the anterocentral portal, the medial midline was a mean of 11.2 mm further from the nearest branch ...

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2016

ISSN: 2042-8812

DOI: 10.1093/jscr/rjw097