A hypertrophic distal fascicle of the anterior tibiofibular ligament is associated with a high rate of osteochondral lesions of the talus
Purpose The purpose of this retrospective review was to determine the prevalence of osteochondral lesions (OCLs) of the lateral talar dome in patients with anterior ankle impingement with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament. Methods Retrospective chart r...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2024-09, Vol.32 (9), p.2452-2462 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Butler, James J. Randall, Grace W. Dalmau‐Pastor, Miki Lin, Charles C. Schoof, Lauren Kennedy, John G. |
| description | Purpose
The purpose of this retrospective review was to determine the prevalence of osteochondral lesions (OCLs) of the lateral talar dome in patients with anterior ankle impingement with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Methods
Retrospective chart review identified 40 patients who underwent anterior ankle arthroscopy for the management of anterior ankle impingement. Clinical outcomes assessed included pre‐ and postoperative foot and ankle outcome score (FAOS), visual analogue scale (VAS), complications, failures, secondary surgical procedures, return‐to‐work data and return‐to‐sport data.
Results
Thirty‐two patients with a mean follow‐up time of 29.3 ± 10.4 months were included. The hypertrophic distal fascicle of the anterior tibio‐fibular ligament was hypertrophic in 29 patients (90.6%), with a mean thickness of 2.5 ± 0.4 mm on MRI. There were 22 OCLs of the lateral talar dome (75.9%) with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament visualized during arthroscopy. The international cartilage repair society gradings of the lesions included 3 (13.6%) grade I lesions, 15 (68.1%) grade II lesions, 3 (13.6%) grade III lesions, and 1 (4.6%) grade IV lesion. There was a statistically significant improvement in mean FAOS and VAS scores from preoperative to postoperative (p |
| doi_str_mv | 10.1002/ksa.12360 |
| format | Article |
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The purpose of this retrospective review was to determine the prevalence of osteochondral lesions (OCLs) of the lateral talar dome in patients with anterior ankle impingement with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Methods
Retrospective chart review identified 40 patients who underwent anterior ankle arthroscopy for the management of anterior ankle impingement. Clinical outcomes assessed included pre‐ and postoperative foot and ankle outcome score (FAOS), visual analogue scale (VAS), complications, failures, secondary surgical procedures, return‐to‐work data and return‐to‐sport data.
Results
Thirty‐two patients with a mean follow‐up time of 29.3 ± 10.4 months were included. The hypertrophic distal fascicle of the anterior tibio‐fibular ligament was hypertrophic in 29 patients (90.6%), with a mean thickness of 2.5 ± 0.4 mm on MRI. There were 22 OCLs of the lateral talar dome (75.9%) with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament visualized during arthroscopy. The international cartilage repair society gradings of the lesions included 3 (13.6%) grade I lesions, 15 (68.1%) grade II lesions, 3 (13.6%) grade III lesions, and 1 (4.6%) grade IV lesion. There was a statistically significant improvement in mean FAOS and VAS scores from preoperative to postoperative (p < 0.001). No cases of syndesmotic instability were observed following resection of hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Conclusion
This retrospective case series demonstrated that a hypertrophic distal fascicle of the anterior tibio‐fibular ligament was associated with an OCL of the lateral talar dome identified during arthroscopic evaluation. In addition, preoperative MRI demonstrated poor sensitivity for the detection of these OCLs. Heightened awareness is warranted for potential lateral talar dome OCLs in patients presenting with anterolateral ankle impingement with a hypertrophic ATiFLdf identified on preoperative MRI in the absence of an associated OCLs.
Level of Evidence
Level IV, Retrospective case series.</description><identifier>ISSN: 0942-2056</identifier><identifier>ISSN: 1433-7347</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1002/ksa.12360</identifier><identifier>PMID: 39033348</identifier><language>eng</language><publisher>Germany</publisher><subject>ankle impingement ; anterior tibiofibular ligament ; Bassett's ligament ; osteochondral lesion of the talus</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2024-09, Vol.32 (9), p.2452-2462</ispartof><rights>2024 European Society of Sports Traumatology, Knee Surgery and Arthroscopy.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2150-22b22d36651cb799ec342322ff6ebef2ceb09adb9397d417780b4be9bf6349a33</cites><orcidid>0009-0005-6223-4544</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fksa.12360$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fksa.12360$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39033348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Butler, James J.</creatorcontrib><creatorcontrib>Randall, Grace W.</creatorcontrib><creatorcontrib>Dalmau‐Pastor, Miki</creatorcontrib><creatorcontrib>Lin, Charles C.</creatorcontrib><creatorcontrib>Schoof, Lauren</creatorcontrib><creatorcontrib>Kennedy, John G.</creatorcontrib><title>A hypertrophic distal fascicle of the anterior tibiofibular ligament is associated with a high rate of osteochondral lesions of the talus</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this retrospective review was to determine the prevalence of osteochondral lesions (OCLs) of the lateral talar dome in patients with anterior ankle impingement with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Methods
Retrospective chart review identified 40 patients who underwent anterior ankle arthroscopy for the management of anterior ankle impingement. Clinical outcomes assessed included pre‐ and postoperative foot and ankle outcome score (FAOS), visual analogue scale (VAS), complications, failures, secondary surgical procedures, return‐to‐work data and return‐to‐sport data.
Results
Thirty‐two patients with a mean follow‐up time of 29.3 ± 10.4 months were included. The hypertrophic distal fascicle of the anterior tibio‐fibular ligament was hypertrophic in 29 patients (90.6%), with a mean thickness of 2.5 ± 0.4 mm on MRI. There were 22 OCLs of the lateral talar dome (75.9%) with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament visualized during arthroscopy. The international cartilage repair society gradings of the lesions included 3 (13.6%) grade I lesions, 15 (68.1%) grade II lesions, 3 (13.6%) grade III lesions, and 1 (4.6%) grade IV lesion. There was a statistically significant improvement in mean FAOS and VAS scores from preoperative to postoperative (p < 0.001). No cases of syndesmotic instability were observed following resection of hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Conclusion
This retrospective case series demonstrated that a hypertrophic distal fascicle of the anterior tibio‐fibular ligament was associated with an OCL of the lateral talar dome identified during arthroscopic evaluation. In addition, preoperative MRI demonstrated poor sensitivity for the detection of these OCLs. Heightened awareness is warranted for potential lateral talar dome OCLs in patients presenting with anterolateral ankle impingement with a hypertrophic ATiFLdf identified on preoperative MRI in the absence of an associated OCLs.
Level of Evidence
Level IV, Retrospective case series.</description><subject>ankle impingement</subject><subject>anterior tibiofibular ligament</subject><subject>Bassett's ligament</subject><subject>osteochondral lesion of the talus</subject><issn>0942-2056</issn><issn>1433-7347</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kE1v1DAQQC1ERZfCgT-AfIRDWtvjTdbHVVU-RKUeWs6R7YwbgzdePI6q_Qn8a1K25cZpRqOnN9Jj7J0U51IIdfGT7LlU0IoXbCU1QNOB7l6ylTBaNUqs21P2muiHEMuqzSt2CkYAgN6s2O8tHw97LLXk_Rg9HyJVm3iw5KNPyHPgdURup4ol5sJrdDGH6OZkC0_x3u5wqjwSt0TZR1tx4A-xjtzyMd6PvCyXR0mmitmPeRrKok9IMU_0bF8-zvSGnQSbCN8-zTP2_dPV3eWX5vrm89fL7XXjlVyLRimn1ABtu5bedcagB61AqRBadBiURyeMHZwB0w1adt1GOO3QuNCCNhbgjH04evcl_5qRar-L5DElO2GeqQexASVbCZsF_XhEfclEBUO_L3Fny6GXon8s3y_l-7_lF_b9k3Z2Oxz-kc-pF-DiCDzEhIf_m_pvt9uj8g9_NI91</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Butler, James J.</creator><creator>Randall, Grace W.</creator><creator>Dalmau‐Pastor, Miki</creator><creator>Lin, Charles C.</creator><creator>Schoof, Lauren</creator><creator>Kennedy, John G.</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0005-6223-4544</orcidid></search><sort><creationdate>202409</creationdate><title>A hypertrophic distal fascicle of the anterior tibiofibular ligament is associated with a high rate of osteochondral lesions of the talus</title><author>Butler, James J. ; Randall, Grace W. ; Dalmau‐Pastor, Miki ; Lin, Charles C. ; Schoof, Lauren ; Kennedy, John G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2150-22b22d36651cb799ec342322ff6ebef2ceb09adb9397d417780b4be9bf6349a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>ankle impingement</topic><topic>anterior tibiofibular ligament</topic><topic>Bassett's ligament</topic><topic>osteochondral lesion of the talus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Butler, James J.</creatorcontrib><creatorcontrib>Randall, Grace W.</creatorcontrib><creatorcontrib>Dalmau‐Pastor, Miki</creatorcontrib><creatorcontrib>Lin, Charles C.</creatorcontrib><creatorcontrib>Schoof, Lauren</creatorcontrib><creatorcontrib>Kennedy, John G.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Butler, James J.</au><au>Randall, Grace W.</au><au>Dalmau‐Pastor, Miki</au><au>Lin, Charles C.</au><au>Schoof, Lauren</au><au>Kennedy, John G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A hypertrophic distal fascicle of the anterior tibiofibular ligament is associated with a high rate of osteochondral lesions of the talus</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2024-09</date><risdate>2024</risdate><volume>32</volume><issue>9</issue><spage>2452</spage><epage>2462</epage><pages>2452-2462</pages><issn>0942-2056</issn><issn>1433-7347</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this retrospective review was to determine the prevalence of osteochondral lesions (OCLs) of the lateral talar dome in patients with anterior ankle impingement with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Methods
Retrospective chart review identified 40 patients who underwent anterior ankle arthroscopy for the management of anterior ankle impingement. Clinical outcomes assessed included pre‐ and postoperative foot and ankle outcome score (FAOS), visual analogue scale (VAS), complications, failures, secondary surgical procedures, return‐to‐work data and return‐to‐sport data.
Results
Thirty‐two patients with a mean follow‐up time of 29.3 ± 10.4 months were included. The hypertrophic distal fascicle of the anterior tibio‐fibular ligament was hypertrophic in 29 patients (90.6%), with a mean thickness of 2.5 ± 0.4 mm on MRI. There were 22 OCLs of the lateral talar dome (75.9%) with an associated hypertrophic distal fascicle of the anterior tibio‐fibular ligament visualized during arthroscopy. The international cartilage repair society gradings of the lesions included 3 (13.6%) grade I lesions, 15 (68.1%) grade II lesions, 3 (13.6%) grade III lesions, and 1 (4.6%) grade IV lesion. There was a statistically significant improvement in mean FAOS and VAS scores from preoperative to postoperative (p < 0.001). No cases of syndesmotic instability were observed following resection of hypertrophic distal fascicle of the anterior tibio‐fibular ligament.
Conclusion
This retrospective case series demonstrated that a hypertrophic distal fascicle of the anterior tibio‐fibular ligament was associated with an OCL of the lateral talar dome identified during arthroscopic evaluation. In addition, preoperative MRI demonstrated poor sensitivity for the detection of these OCLs. Heightened awareness is warranted for potential lateral talar dome OCLs in patients presenting with anterolateral ankle impingement with a hypertrophic ATiFLdf identified on preoperative MRI in the absence of an associated OCLs.
Level of Evidence
Level IV, Retrospective case series.</abstract><cop>Germany</cop><pmid>39033348</pmid><doi>10.1002/ksa.12360</doi><tpages>11</tpages><orcidid>https://orcid.org/0009-0005-6223-4544</orcidid></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2024-09, Vol.32 (9), p.2452-2462 |
| issn | 0942-2056 1433-7347 1433-7347 |
| language | eng |
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| source | Wiley Online Library All Journals |
| subjects | ankle impingement anterior tibiofibular ligament Bassett's ligament osteochondral lesion of the talus |
| title | A hypertrophic distal fascicle of the anterior tibiofibular ligament is associated with a high rate of osteochondral lesions of the talus |
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