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Decompression of Posterior Ankle Impingement With Concomitant Anterior Ankle Pathology by Posterior Ankle Arthroscopy in the Supine Position  Tun Hing.

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Presentation on theme: "Decompression of Posterior Ankle Impingement With Concomitant Anterior Ankle Pathology by Posterior Ankle Arthroscopy in the Supine Position  Tun Hing."— Presentation transcript:

1 Decompression of Posterior Ankle Impingement With Concomitant Anterior Ankle Pathology by Posterior Ankle Arthroscopy in the Supine Position  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 5, Pages e1191-e1196 (October 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. (A) The posterolateral portal (PLP) is located just posterior to the peroneal tendons and at the level of the ankle joint. (B) The posteromedial portal (PMP) is located anterior to the posterior tibial tendon and at the level of the ankle joint. Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. The posterolateral portal is the viewing portal. Arthroscopic view shows the prominent posteromedial talar process (TP). (CF, calcaneal facet of the posterior subtalar joint.) Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. The posterolateral portal is the viewing portal. The prominent posteromedial talar process (TP) is resected at its posterior end by an arthroscopic acromionizer via the posteromedial portal. Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. The posterolateral portal is the viewing portal. The flexor hallucis longus (FHL) tendon is examined. (S, inflamed synovium around the FHL tendon; TP, posteromedial talar process.) Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. The posteromedial portal is the viewing portal. The residual impinging bone of the posterolateral part of the talus (T) is resected by an arthroscopic acromionizer via the posterolateral portal. (Tib, tibia.) Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Resection of prominent posteromedial process of left talus by posterior ankle arthroscopy. (A) Preoperative lateral ankle radiograph shows the prominent posteromedial talar process (arrowhead). (B) Postoperative radiograph shows that the posteromedial talar process is resected. (T, talus.) Arthroscopy Techniques 2016 5, e1191-e1196DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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