Our Group organises 3000+ Global Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ 黑料网 Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
Research Article
Anterolateral Ankle Pain: Comparison of Two Areas of Clinical Anterolateral Pain Using Imaging and Arthroscopic Findings
Kentaro Amaha1*, Taiki Nozaki2, Sachiko Ohde3 and Atsushi Tasaki1
1Department of Orthopedic Surgery, St. Luke’s International Hospital, Tokyo, Japan
2Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan
3Life Science Institute, St. Luke’s International Hospital, Tokyo, Japan
*Corresponding Author:
Amaha K
Department of Orthopedic Surgery
St. Luke’s International Hospital, Tokyo, Japan Tel: 81-335415151 Fax: 81-335440649 E-mail: amaken@luke.ac.jp
Received Date: July 21, 2016; Accepted Date: June 9, 2016; Published Date: June 13, 2016
Citation: Amaha K, Nozaki T, Ohde S, Tasaki A (2016) Anterolateral Ankle Pain: Comparison of Two Areas of Clinical Anterolateral Pain Using Imaging and Arthroscopic Findings. Clin Res Foot Ankle 4:187. doi:10.4172/2329-910X.1000187
Background: Anterolateral ankle pain is a common symptom after ankle sprain in athletes. Although the pathologic conditions producing anterolateral ankle pain have been researched, we still do not know the exact relationship between structural abnormality and anterolateral ankle pain. The aim of this study was to assess two distinct areas of anterolateral ankle pain by comparing magnetic resonance imaging (MRI) and computed tomography (CT) findings with those of arthroscopic examination.
Methods: From 2011 to 2014, a total of 32 ankles were examined. Preoperative physical findings, MRI and CT findings, and systematic arthroscopic examination were retrospectively reviewed. Abnormalities of two anterolateral ankle regions, the lateral shoulder and anterior talofibular ligament (ATFL), were recorded.
Results: Tenderness over the lateral shoulder region was present in 20 patients (62.5%) and tenderness over the ATFL region was present in 17 patients (54.1%). CT abnormalities were found in 28 patients (87.5%). MRIabnormalities were found in 25 patients (78.1%). On arthroscopy, 32 patients (97.0%) showed abnormalities in the anterolateral area. Statistical analyses showed correlations between pathology on imaging and arthroscopic examinations, and clinical pain. In the lateral shoulder region, synovitis/scar tissue and accessory (Bassett’s) ligament correlated with clinical pain. In the ATFL region, an abnormal ATFL and osteochondrial lesions correlated
with clinical pain.
Conclusion: Various pathological findings were observed on arthroscopic examination. Although anterolateral impingent syndrome is considered to be due to soft tissue impingement, osteocartilaginous abnormalities were identified in these patients. Inadequate care resulting in scar tissue formation and the presence of microinstability
are possibly etiologic factors associated with abnormal findings. In order to prevent these conditions, improvements
in the initial treatment of ankle injuries is warranted.
