Do the Frequency of Ankle Joint-Related Pathologies Concomitant to Chronic Ankle Instability Vary According to Age and Gender?
Öz
Background: To determine the distribution of intra-articular lesions according to age and gender by retrospectively examining the archive records of patients who were operated due to ankle instability.
Methods: The patient records of ankle arthroscopy procedures from between February 2009 to February 2020 were retrospectively evaluated. The information about patients such as age, gender, surgical site, intra-articular and surrounding lesions (osteochondral defects, degenerative cartilage changes, synovial disorders, impingement syndromes, flexor hallucis longus lesions and the presence of os trigonum) were noted and compared statistically.
Results: The incidence of concomitant intra-articular pathology was found to be 78.2% in patients who underwent ankle arthroscopy due to instability. Anterior impingement syndrome in 74.5% of patients, osteochondral lesion in 41.2%, synovial hypertrophy in 15.8%, and degenerative arthritis in 9.1% of the patients were detected. The mean age of the patients with anterior impingement syndrome (p: 0.012), osteochondral defect (p: 0.001), and degenerative arthritis (p: 0.003) was found to be significantly higher than those without. The mean age of patients without additional pathology was 33.91±12.08, patients with an additional pathology were 37.77±12.35, and patients with more than one pathologies were found to be 42.15±11.79 (p: 0.003).
Conclusions: The most important finding of this study was that the presence and number of pathologies accompanying ankle instability increased with age. Considering the incidence of concomitant lesions in patients to be operated due to chronic ankle instability, detailed evaluation of preoperative magnetic resonance imaging and performing diagnostic arthroscopy may be beneficial for determining the possibility of concomitant lesions.
Anahtar Kelimeler
Ankle Instability Age Distribution Osteochondral Defects Anterior Impingement Syndrome.
Kaynakça
- 1.Yasui Y, Murawski CD, Wollstein A, Kennedy JG. Reoperation rates following ankle ligament procedures performed with and without concomitant arthroscopic procedures. Knee Surg Sports Traumatol Arthrosc 2017;25(6):1908-15.
- 2. Choi WJ, Lee JW, Han SH, Kim BS, Lee SK. Chronic lateral ankle instability: the effect of intra-articular lesions on clinical outcome. Am J Sports Med 2008;36(11):2167-72.
- 3. Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002;30(3):402-9.
- 4. BF DI, Fraga CJ, Cohen BE, Shereff MJ. Associated injuries found in chronic lateral ankle instability. Foot & ankle international 2000;21(10):809-15.
- 5. Thompson JY, Byrne C, Williams MA, Keene DJ, Schlussel MM, Lamb SE. Prognostic factors for recovery following acute lateral ankle ligament sprain: a systematic review. BMC Musculoskelet Disord. 2017;18(1):421.
- 6. Jiang D, Hu YL, Jiao C, Guo QW, Xie X, Chen LX, et al. [Mid-to-long term outcomes and influence factors of postoperative concurrent chronic ankle instability and posterior ankle impingement]. Beijing Da Xue Xue Bao Yi Xue Ban 2019;51(3):505-9.
- 7. O’Neill PJ, Van Aman SE, Guyton GP. Is MRI adequate to detect lesions in patients with ankle instability? Clin Orthop Relat Res. 2010;468(4):1115-9.
- 8. D’Hooghe P, Joyce C, Hunt K, Kaux J-F. Concomitant injuries in chronic ankle instability. Clin Res Foot Ankle 2018;6(3):7.
- 9. Cannon L, Hackney R. Anterior tibiotalar impingement associated with chronic ankle instability. J Foot Ankle Surg. 2000;39(6):383-6.
- 10. Özer M, Yıldırım A. Evaluation of the Prevalence of Os Trigonum and Talus Osteochondral Lesions in Ankle Magnetic Resonance Imaging of Patients With Ankle Impingement Syndrome. J Foot Ankle Surg. 2019;58(2):273-7.
- 11. Lee J, Hamilton G, Ford L. Associated intra-articular ankle pathologies in patients with chronic lateral ankle instability: arthroscopic findings at the time of lateral ankle reconstruction. Foot Ankle Spec 2011;4(5):284-9.
Öz
Kaynakça
- 1.Yasui Y, Murawski CD, Wollstein A, Kennedy JG. Reoperation rates following ankle ligament procedures performed with and without concomitant arthroscopic procedures. Knee Surg Sports Traumatol Arthrosc 2017;25(6):1908-15.
- 2. Choi WJ, Lee JW, Han SH, Kim BS, Lee SK. Chronic lateral ankle instability: the effect of intra-articular lesions on clinical outcome. Am J Sports Med 2008;36(11):2167-72.
- 3. Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002;30(3):402-9.
- 4. BF DI, Fraga CJ, Cohen BE, Shereff MJ. Associated injuries found in chronic lateral ankle instability. Foot & ankle international 2000;21(10):809-15.
- 5. Thompson JY, Byrne C, Williams MA, Keene DJ, Schlussel MM, Lamb SE. Prognostic factors for recovery following acute lateral ankle ligament sprain: a systematic review. BMC Musculoskelet Disord. 2017;18(1):421.
- 6. Jiang D, Hu YL, Jiao C, Guo QW, Xie X, Chen LX, et al. [Mid-to-long term outcomes and influence factors of postoperative concurrent chronic ankle instability and posterior ankle impingement]. Beijing Da Xue Xue Bao Yi Xue Ban 2019;51(3):505-9.
- 7. O’Neill PJ, Van Aman SE, Guyton GP. Is MRI adequate to detect lesions in patients with ankle instability? Clin Orthop Relat Res. 2010;468(4):1115-9.
- 8. D’Hooghe P, Joyce C, Hunt K, Kaux J-F. Concomitant injuries in chronic ankle instability. Clin Res Foot Ankle 2018;6(3):7.
- 9. Cannon L, Hackney R. Anterior tibiotalar impingement associated with chronic ankle instability. J Foot Ankle Surg. 2000;39(6):383-6.
- 10. Özer M, Yıldırım A. Evaluation of the Prevalence of Os Trigonum and Talus Osteochondral Lesions in Ankle Magnetic Resonance Imaging of Patients With Ankle Impingement Syndrome. J Foot Ankle Surg. 2019;58(2):273-7.
- 11. Lee J, Hamilton G, Ford L. Associated intra-articular ankle pathologies in patients with chronic lateral ankle instability: arthroscopic findings at the time of lateral ankle reconstruction. Foot Ankle Spec 2011;4(5):284-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | ORIGINAL ARTICLE |
| Yazarlar | |
| Yayımlanma Tarihi | 22 Eylül 2020 |
| Gönderilme Tarihi | 21 Ağustos 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 1 Sayı: 1 |
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