Purpose
This study aims to provide an overview of both the open and endoscopic procedures
used to treat posterior ankle impingement, as well as an analysis, evaluation, and
comparison of their outcomes.
Methods
A systematic literature search of the Medline, Embase (Classic), and CINAHL (Cumulative
Index to Nursing and Allied Health Literature) databases and the Cochrane Database
of Clinical and Randomized Controlled Trials was performed. Quality of included studies
was assessed by use of the Downs and Black scale.
Results
After we reviewed 783 studies, 16 trials met the inclusion criteria. Of these trials,
6 reported on open surgical techniques and 10 evaluated endoscopic techniques. The
complication rate (15.9% v 7.2%) and time to return to full activity (16.0 weeks v 11.3 weeks) differed between the 2 groups, both favoring endoscopic surgery.
Conclusions
Although the level of evidence of the included studies is relatively low, it can be
concluded that the endoscopic technique is superior to the open procedure.
Level of Evidence
Level IV, systematic review of Level IV studies.
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References
- Anterior and posterior ankle impingement.Foot Ankle Clin. 2006; 11: 663-683
- Os trigonum syndrome: A clinical entity in ballet dancers.Foot Ankle. 1991; 11: 404-406
- Talar compression syndrome.Foot Ankle. 1987; 7: 338-344
- Posterior impingement syndrome of the ankle.Sports Med Train Rehabil. 1991; 2: 285-286
- Posterior ankle impingement.Foot Ankle Int. 1994; 15: 2-8
- Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment.J Bone Joint Surg Am. 1996; 78: 1491-1500
- Posterior ankle arthroscopy in sports: Posterior impingement/os trigonum.Oper Tech Orthop. 2008; 18: 271-276
- Arthroscopy of the ankle and foot.J Bone Joint Surg Am. 1993; 75: 1233-1242
- Arthroscopic arthroplasty of the ankle joint.Clin Podiatr Med Surg. 1994; 11: 449-467
- Os trigonum impingement in dancers.Am J Sports Med. 1992; 20: 533-536
- Outcome of resection of a symptomatic os trigonum.J Bone Joint Surg Am. 2003; 85: 1051-1057
- A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology.Arthroscopy. 2000; 16: 871-876
- The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.J Epidemiol Community Health. 1998; 52: 377-384
- Posterior ankle impingement syndrome in dancers—A short-term follow-up after operative treatment.Foot Ankle Surg. 2002; 8: 33-39
- Posterior ankle impingement syndrome: A retrospective study in 21 cases treated surgically.Rev Chir Orthop Reparatrice Appar Mot. 2005; 91 (in French): 239-247
- Technique and results of arthroscopic treatment of posterior ankle impingement.Foot Ankle Surg. 2011; 17: 79-84
- Postoperative complications of posterior ankle and hindfoot arthroscopy.J Bone Joint Surg Am. 2012; 94: 439-446
- Endoscopic treatment of posterior ankle pain.Knee Surg Sports Traumatol Arthrosc. 2011; 19: 1355-1361
- Hindfoot endoscopy for posterior ankle impingement.J Bone Joint Surg Am. 2008; 90: 2665-2672
- Posterior ankle impingement: The role of posterior ankle arthroscopy.Tech Foot Ankle Surg. 2009; 8: 94-98
- Benefits of arthroscopic tuberculoplasty in posterior ankle impingement syndrome.Knee Surg Sports Traumatol Arthrosc. 2007; 15: 1235-1239
- Return to training and playing after posterior ankle arthroscopy for posterior impingement in elite professional soccer.Am J Sports Med. 2010; 38: 120-124
- A novel technique of arthroscopic excision of a symptomatic os trigonum.Arthroscopy. 2008; 24: 121-124
- Arthroscopic excision of posterior ankle bony impingement for early return to the field: Short-term results.Foot Ankle Int. 2010; 31: 398-403
- Outcome of posterior ankle arthroscopy for hindfoot impingement.Arthroscopy. 2008; 24: 196-202
- Systematic reviews of nonrandomized clinical studies in the orthopaedic literature.Clin Orthop Relat Res. 2004; : 249-257
- Design, conduct, and interpretation of nonrandomized orthopaedic studies: A practical approach. (All) evidence matters.J Bone Joint Surg Am. 2009; 91: 1
- Complications in ankle arthroscopy.Knee Surg Sports Traumatol Arthrosc. 2012; 20: 1420-1431
- Endoscopic resection of a symptomatic os trigonum.Knee Surg Sports Traumatol Arthrosc. 2006; 14: 1188-1193
- Arthroscopic excision of the os trigonum: A new technique with preliminary clinical results.Foot Ankle Int. 1997; 18: 777-784
- Ankle impingement: Combined anterior and posterior impingement syndrome of the ankle.Foot Ankle Int. 2004; 25: 632-638
- Experiences and first outcome of posterior ankle arthroscopy.Acta Chir Orthop Traumatol Cech. 2011; 78 (in Czech): 451-457
- Open versus endoscopic excision of a symptomatic os trigonum: A comparative study of 41 cases.Arthroscopy. 2010; 26: 384-390
Article info
Publication history
Published online: April 01, 2013
Accepted:
January 25,
2013
Received:
September 7,
2012
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
