A collection of complex joint preservation and replacement case studies and random thoughts of a orthopedic surgeon essentially aimed at knowledge dissemination.
Wednesday, 13 February 2013
anterior and posterior impingement of ankle
This 28 yt old boy presented with pain both anterior medial and posterior laterally. with clinical evidence of both anterior and posterior impingement, confirmed by diagnostic injection
Would one do both anterior and posterior scopy one stage
prior to proceeding to surgery i would take a lateral oblique view to define the profile of the anterior osteophyte. In a normal lateral view its usually not pretty much evident.(full plantar flexion of ankle, beam at 45 degrees from lateral and cassette placed over the medial malleolus).i would go front and back in one sitting in this scenario.
prior to proceeding to surgery i would take a lateral oblique view to define the profile of the anterior osteophyte. In a normal lateral view its usually not pretty much evident.(full plantar flexion of ankle, beam at 45 degrees from lateral and cassette placed over the medial malleolus).i would go front and back in one sitting in this scenario.
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