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Chronic Ankle and Subtalar Joint Instability in the Athlete

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Presentation on theme: "Chronic Ankle and Subtalar Joint Instability in the Athlete"— Presentation transcript:

1 Chronic Ankle and Subtalar Joint Instability in the Athlete
Matthew J. Hentges, BA, Michael S. Lee, DPM  Clinics in Podiatric Medicine and Surgery  Volume 28, Issue 1, Pages (January 2011) DOI: /j.cpm Copyright © 2011 Elsevier Inc. Terms and Conditions

2 Fig. 1 The Telos apparatus used for talar tilt examination.
(From Lee MS, Hofbauer MH. Evaluation and management of lateral ankle injuries. Clin Podiatr Med Surg 1999;16:659–78; with permission.) Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

3 Fig. 2 Anterior drawer test with the Telos apparatus showing significant anterior subluxation of the talus in the ankle joint. (From Lee MS, Hofbauer MH. Evaluation and management of lateral ankle injuries. Clin Podiatr Med Surg 1999;16:659–78; with permission.) Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

4 Fig. 3 Manual stress inversion for talar tilt showing mechanical instability. (From Lee MS, Hofbauer MH. Evaluation and management of lateral ankle injuries. Clin Podiatr Med Surg 1999;16:659–78; with permission.) Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

5 Fig. 4 (A) Curvilinear incision for Broström-Gould repair. (B) Linear incision for Broström-Gould stabilization. Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

6 Fig. 5 Exposure of the anterior margin of the distal fibula.
Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

7 Fig. 6 Insertion of 2 corkscrew anchors in the distal fibula used to attach the distal cuff of tissue. Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

8 Fig. 7 Vest-over-pants repair, demonstrating placement of all sutures before tying off each throw. Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

9 Fig. 8 Incorporation of the inferior extensor retinaculum into the repair (Gould modification). Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

10 Fig. 9 Incision approach for Chrisman-Snook.
Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

11 Fig. 10 Peroneal tendon graft.
Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

12 Fig. 11 Brevis through fibula.
Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

13 Fig. 12 Brevis into calcaneus.
Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions

14 Fig. 13 Mortise (A) and lateral (B) ankle views demonstrating placement and orientation of interference screws used for a semitendinosus allograft. Clinics in Podiatric Medicine and Surgery  , DOI: ( /j.cpm ) Copyright © 2011 Elsevier Inc. Terms and Conditions


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