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ARTHROSCOPIC TREATMENT OF POSTERIOR ANKLE IMPINGEMENT SYNDROME - SYSTEMATIC SURGICAL APPROACH AND CASE REPORT
I Kolev1, A Andreev2, I Zazirnyi3
11MU Sofia Affiliate "Prof. Ivan Mitev", Vratsa, Bulgaria.
Georgian Medical News
|February 26, 2025
Summary
Arthroscopic surgery effectively treats flexor hallucis longus tenosynovitis in athletes. Patients experienced significant pain relief and a rapid return to sports activities within weeks.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Flexor hallucis longus tenosynovitis causes pain in athletes due to impingement syndrome.
- Dorsal ankle impingement syndrome requires effective diagnostic and treatment strategies.
Purpose of the Study:
- To present a case report on dorsal ankle impingement syndrome.
- To familiarize readers with diagnostic and treatment methods for this condition.
Main Methods:
- A professional soccer player underwent arthroscopic excision of os trigonum and flexor hallucis longus tendon sheath release.
- Outcome scores (Foot and Ankle Outcome Score, American Orthopedic Foot & Ankle Society) and return-to-sport times were assessed pre- and post-surgery.
Main Results:
- Preoperative scores improved significantly post-surgery (FAOS: 80 to 99; AOFAS: 67 to 100).
- Athletes returned to team training in 4 weeks and full competition in 7 weeks.
Conclusions:
- Arthroscopic treatment for dorsal ankle impingement syndrome is safe and effective.
- This approach facilitates a quick return to athletic activity.
