Cartilage lesions in anterior bony impingement of the ankle

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Jeong-Seok MoonWoo-Chun Lee

Abstract

The aim of this study was to investigate the correlations between spur severity, clinical characteristics, and articular cartilage lesions in patients with anterior bony impingement. The study included 57 ankles in 57 patients (48 male and 9 female patients; age range, 15 to 59 years) who had undergone a spur resection for anterior impingement. We excluded spurs in patients with osteoarthritis with joint space narrowing. Spur severity was classified by use of the McDermott scale. The correlations between spur severity, clinical characteristics, and articular cartilage lesions were evaluated. Differences in the mean lengths of the tibial spurs were examined according to the presence or absence of tram-track lesions, spur fragmentation, and loose bodies. The duration of pain, degree of sports activity, and presence of mechanical instability showed no relation to spur severity. Of the ankles, 28 (49.1%) were grade 1, 1 (1.8%) was grade 2, and 28 (49.1%) were grade 3. Cartilage lesions were present in 46 ankles (80.7%). Spur severity was correlated with the degree of cartilage lesions (Spearman rho = 0.30, P = .02). Grade 3 ankles had more spur fragmentation than grade 1 or 2 ankles. The mean length of the tibial spurs with tram-tr...Continue Reading

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Citations

Mar 10, 2012·Current Reviews in Musculoskeletal Medicine·Tanawat Vaseenon, Annunziato Amendola
May 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Paul G TalusanJohn S Reach
Sep 10, 2016·Journal of Orthopaedic Surgery and Research·Kyle P LaveryGeorge Theodore
Nov 1, 2013·Foot & Ankle International·Alessandro ParmaSandro Giannini
Apr 9, 2017·Annals of the Rheumatic Diseases·Garifallia SakellariouAnnamaria Iagnocco
Jun 7, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Christopher E TalbotShana N Miskovsky
Mar 14, 2019·Haemophilia : the Official Journal of the World Federation of Hemophilia·Myung Chul YooJungtae Ahn
Apr 29, 2021·Orthopedic Research and Reviews·Byung-Hyun Ahn, Byung-Ki Cho

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