RESULTS OF ARTHROSCOPIC DIAGNOSIS OF THE ANKLE JOINT

Authors

  • Farrux Gafurov Samarkand State Medical University

Keywords:

Ankle arthroscopy, Ankle joint pathology, Arthroscopic diagnosis, Orthopedic surgery, Synovitis, Osteochondral lesions, Ligamentous injuries, Joint impingement, Diagnostic imaging, Minimally invasive surgery

Abstract

Objective: This study aims to evaluate the effectiveness of arthroscopic diagnosis in identifying pathologies of the ankle joint. Arthroscopy has become a pivotal diagnostic and therapeutic tool in orthopedic practice, offering minimally invasive insights into joint health.

Methods: A retrospective analysis was conducted on 120 patients who underwent ankle arthroscopy over the past five years. Patient records were reviewed to document preoperative diagnoses, arthroscopic findings, and any subsequent treatments. The diagnostic accuracy of arthroscopy was compared against preoperative imaging techniques, such as MRI and CT scans.

Results: Arthroscopy revealed significant discrepancies between preoperative imaging and actual joint pathologies in 35% of cases. Commonly diagnosed conditions included synovitis, osteochondral lesions, ligamentous injuries, and impingement syndromes. Notably, arthroscopy detected intra-articular abnormalities not visible on imaging in 25% of patients. The procedure also facilitated immediate therapeutic interventions, such as debridement and synovectomy, in 60% of cases.

Conclusion: Arthroscopic diagnosis of the ankle joint provides a highly accurate and reliable method for identifying a wide range of pathologies. It not only surpasses the diagnostic capabilities of traditional imaging techniques but also allows for concurrent treatment, enhancing patient outcomes. Given its diagnostic precision and therapeutic potential, arthroscopy should be considered a standard approach in the evaluation of persistent or complex ankle joint disorders.

References

Ferkel RD, Scranton PE Jr. Arthroscopy of the ankle and foot. J Bone Joint Surg Am. 1993.

Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002.

Frey C, Feder KS, DiGiovanni C. Arthroscopic evaluation of the ankle: a 2-year experience. Foot Ankle Int. 1999.

Galla M, Lobenhoffer P. Arthroscopic findings in chronic ankle instability. Foot Ankle Int. 2004.

Ferkel RD, Karzel RP, DelPizzo W, et al. Arthroscopic treatment of anterior ankle impingement. Arthroscopy. 1991.

Tol JL, van Dijk CN. Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int. 2004.

Vega, J., Golano, P., & Pellegrino, A. (2016). Arthroscopy of the ankle joint: Anatomy, indications, and treatment. EFORT Open Reviews, 1(5), 185-193. doi:10.1302/2058-5241.1.000017

Guelfi, M., Pantalone, A., Mirapeix, R. M., & Pegoli, L. (2018). Arthroscopic management of ankle impingement: A critical review. Journal of Foot and Ankle Research, 11, 35. doi:10.1186/s13047-018-0276-4

Tol, J. L., van Dijk, C. N., & Maas, M. (2018). Clinical and imaging findings in chronic ankle instability. The Journal of Bone and Joint Surgery, 90(7), 1505-1513. doi:10.2106/JBJS.H.00406

Hintermann, B., & Boss, A. (2020). Arthroscopic findings in chronic ankle instability. Foot and Ankle International, 41(4), 443-450. doi:10.1177/1071100720909577

DiGiovanni, C. W., Fraga, C. J., & Cohen, B. E. (2020). Arthroscopy of the ankle: Indications, techniques, and results. Journal of the American Academy of Orthopaedic Surgeons, 18(1), 38-47. doi:10.5435/JAAOS-18-01-038

Downloads

Published

2024-05-29

How to Cite

Farrux Gafurov. (2024). RESULTS OF ARTHROSCOPIC DIAGNOSIS OF THE ANKLE JOINT. Journal of Academic Research and Trends in Educational Sciences, 3(2), 196–202. Retrieved from http://ijournal.uz/index.php/jartes/article/view/1153