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Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 

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Presentation on theme: "Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. "— Presentation transcript:

1 Endoscopic Resection of the Lateral Ankle Bursa With Synovial Chondromatosis 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S.  Arthroscopy Techniques  Volume 5, Issue 3, Pages e489-e493 (June 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Radiographs and magnetic resonance imaging of right ankle in the illustrated case. Anterolateral (A) and lateral (B) views showing a cluster of ossifications at the posterolateral ankle. Coronal (C) and transverse (D) views showing that the bursal sac is adherent to the peroneal tendon sheath and the skin. Arthroscopy Techniques 2016 5, e489-e493DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Endoscopic resection of bursal chondromatosis of right lateral ankle. The patient is in the lateral position. The bursa and the peroneal tendon sheath are outlined. The proximal viewing portal (pp) and the distal viewing portal (dp) are marked proximal and distal to the bursa and along the peroneal tendon sheath. Arthroscopy Techniques 2016 5, e489-e493DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Endoscopic resection of bursal chondromatosis of right lateral ankle. The patient is in the lateral position. (A) The distal portal is the viewing portal. The loose bodies are removed through the bursal portal. (B) Endoscopic view showing removal of a loose body. (C) Loose bodies after removal. Arthroscopy Techniques 2016 5, e489-e493DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Endoscopic resection of bursal chondromatosis of right lateral ankle. The patient is in the lateral position. (A) The proximal portal is the viewing portal. Synovectomy is performed with an arthroscopic shaver through the bursal portal. (B) Endoscopic view showing resection of the inflamed synovium (IS) with preservation of the integrity of the bursal sac (BS). Arthroscopy Techniques 2016 5, e489-e493DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Endoscopic resection of bursal chondromatosis of right lateral ankle. The patient is in the lateral position. (A) Endoscopic view showing resection of the bursal sac (bs) by an arthroscopic shaver. (B) Endoscopic view showing internal drainage of the bursal sac to the peroneal tendon sheath by resection of part of the peroneal tendon sheath. The peroneus brevis (pb) and peroneus longus (pl) tendons are exposed. Arthroscopy Techniques 2016 5, e489-e493DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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