hindfoot endoscopy for posterior ankle impingement by c.n. van dijk, p.a.j. de leeuw, and p.e....

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Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298 October 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

Hindfoot Endoscopy for Posterior Ankle Impingement

by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten

JBJS Essent Surg TechVolume os-91(Supplement 2):287-298

October 1, 2009

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

Patient position during posterior ankle arthroscopy.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

With use of the arthroscope as a guide, the mosquito clamp is moved anteriorly until the bone is reached.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

The mosquito clamp remains in position, and the arthroscope is withdrawn slightly.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

Arthroscopic images of a left ankle after penetration of the crural fascia to visualize the lateral aspect of the subtalar joint.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

Schematic step-by-step overview of arthroscope and instruments for posterior ankle arthroscopy in a left ankle.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Hindfoot Endoscopy for Posterior Ankle Impingement by C.N. van Dijk, P.A.J. de Leeuw, and P.E. Scholten JBJS Essent Surg Tech Volume os-91(Supplement 2):287-298

Endoscopic images of a left ankle, indicating the different steps to remove a symptomatic os trigonum.

C.N. van Dijk et al. J Bone Joint Surg Am 2009;os-91:287-298

©2009 by The Journal of Bone and Joint Surgery, Inc.

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