By C. Niek van Dijk
Ankle accidents are frequently activity comparable and pose a diagnostic and healing problem. during the last 25 years, Niek van Dijk, founding father of the Amsterdam Foot and Ankle tuition and writer of this ebook, has built a brand new philosophy of ankle arthroscopy. It includes a complete technique along with a number of diagnostic ideas and the applying of a few minimally invasive endoscopic strategies. Use of those recommendations has unfold through the international; they're now well-known because the state-of-the-art and feature been used to regard many top expert athletes. This diagnostic and working guide provides the Amsterdam Foot and Ankle university technique for a large choice of ankle and hindfoot difficulties. transparent step by step directions are supplied with assistance from various top quality illustrations, such a lot of that are in colour. entry to an internet academic website is additionally on hand to readers.
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Additional resources for Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School
1 Anteromedial Portal The anteromedial portal is the first to be performed. It is established just medial to the tibialis anterior tendon at the anterior joint line of the ankle and coinciding with a soft spot, a visible and palpable depression seen when the ankle is in dorsiflexion (Figs. 11). It is important to palpate the tibialis anterior tendon with the ankle in the dorsiflexed position. There is a potential for injury to the saphenous nerve and the great saphenous vein, which at this level, divides into numerous branches that communicate with the deep venous system (Fig.
Rev Rhum Mal Osteoartic 58:93–97 Diehr P, Highley R, Dehkordi F, Wood R, Krueger L, Teitz C et al (1988) Prediction of fracture in patients with acute musculoskeletal ankle trauma. Med Decis Making 8(1):40–47 Dunlop MG, Beattie TF, White GK, Raab GM, Doull RI (1986) Guidelines for selective radiological assessment of inversion ankle injuries. Br Med J (Clin Res Ed) 293(6547):603–605 Flick AB, Gould N (1985) Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions.
The shaver is introduced to treat the soft tissue impingement. In this case it is used as a probe to assess the distance between the fibula and the distal tibia. (a) The shaver is seen on the left and was used to remove exces- sive synovial tissue. The synovial syndesmotic fringe between the fibula and the distal tibia is visible. (b) The shaver (which now is used as a probe) is placed behind the tibiofibular ligament (anterior syndesmotic ligament) at the level of the junction between tibia and fibula.
Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School by C. Niek van Dijk