The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases

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The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases

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BioMed Central
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PMC
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  • Medicine
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Abstract

1749-799X-1-4.fm ral Journal of Orthopaedic Surgery and ss BioMed CentResearch Open AcceResearch article The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases Christer G Rolf*1, Caroline Barclay1, Masoud Riyami1 and John George2 Address: 1The Sheffield Centre of Sports Medicine, School of Biomedical Sciences, University of Sheffield, 5 Broomfield Road, S10 2SE, Sheffield, UK and 2Department of Biomedical Imaging, University of Malaya, Malaysia Email: Christer G Rolf* - [email protected]; Caroline Barclay - [email protected]; Masoud Riyami - [email protected]; John George - [email protected] * Corresponding author Abstract Background: Ankle sprains are common in sports and can sometimes result in a persistent pain condition. Purpose: Primarily to evaluate clinical symptoms, signs, diagnostics and outcomes of surgery for symptomatic chondral injuries of the talo crural joint in athletes. Secondly, in applicable cases, to evaluate the accuracy of MRI in detecting these injuries. Type of study: Prospective consecutive series. Methods: Over around 4 years we studied 61 consecutive athletes with symptomatic chondral lesions to the talocrural joint causing persistent exertion ankle pain. Results: 43% were professional full time athletes and 67% were semi-professional, elite or amateur athletes, main sports being soccer (49%) and rugby (14%). The main subjective complaint was exertion ankle pain (93%). Effusion (75%) and joint line tenderness on palpation (92%) were the most common clinical findings. The duration from injury to arthroscopy for 58/61 cases was 7 months (5.7–7.9). 3/61 cases were referred within 3 weeks from injury. There were in total 75 cartilage lesions. Of these, 52 were located on the Talus dome, 17 on the medial malleolus and 6 on the Tibia plafond. Of the Talus dome injuries 18 were anteromedial, 14 anterolateral, 9 posteromedial, 3 posterolatera

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