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Arthroscopy of the Ankle joint

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Because of the closeness of neurovascular structures to ... Fibula. Posterior capsule. Posterior recess. 9/19/09. E.Adar M.D. 18. Arthroscopy of the Ankle joint ... – PowerPoint PPT presentation

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Title: Arthroscopy of the Ankle joint


1
Arthroscopy of the Ankle joint Tour
E.Adar M.D.
Arthroscopic Surgery Unit E.Wolfson Medical Center
2
Arthroscopy of the Ankle joint
Because of the closeness of neurovascular
structures to the arthroscopic portals, there is
the potential risk of neurovascular lesions
during arthroscopy of the ankle. Surprisingly,
our experience proves that, in fact, arthroscopy
of the ankle is a safe technique. The surgeon
must have knowledge of the neurovascular anatomy
and he should use the standard portals and
create them cautiously.
3
Anterior Portals
Arthroscopy of the Ankle joint
4
Arthroscopy of the Ankle joint
2
1
4
3
5
Arthroscopy of the Ankle joint
6
Arthroscopy of the Ankle joint
1
2
3
4
7
Arthroscopy of the Ankle joint
8
Arthroscopy of the Ankle joint
9
Arthroscopy of the Ankle joint
10
Arthroscopy of the Ankle joint
11
Arthroscopy of the Ankle joint
12
Arthroscopy of the Ankle joint
13
Arthroscopy of the Ankle joint
14
Arthroscopy of the Ankle joint
15
Arthroscopy of the Ankle joint
Tibia
Internal Distractor
Posterior capsule
Oss Trigonum
Talus
16
Arthroscopy of the Ankle joint
Tibia
Internal Distractor
Posterior capsule
Talus
17
Arthroscopy of the Ankle joint
Fibula
Posterior capsule
Posterior recess
18
Arthroscopy of the Ankle joint
19
Arthroscopy of the Ankle joint
20
Arthroscopy of the Ankle joint
21
Arthroscopy of the Ankle joint
22
Arthroscopy of the Ankle joint
23
Arthroscopy of the Ankle joint
24
Arthroscopy of the Ankle joint
25
Arthroscopy of the Ankle joint
26
Arthroscopy of the Ankle joint
27
Arthroscopy of the Ankle joint
28
Arthroscopy of the Ankle joint
29
Arthroscopy of the Ankle joint
30
Arthroscopy of the Ankle joint
31
Arthroscopy of the Ankle joint
Pathology 1)synovitis
32
Arthroscopy of the Ankle joint
Synovitis
Tibia
Shaver
Talus
33
Arthroscopy of the Ankle joint
34
Arthroscopy of the Ankle joint
35
Arthroscopy of the Ankle joint
36
Arthroscopy of the Ankle joint
2)Fibrosis
37
Arthroscopy of the Ankle joint
Fibrosis
Talus
Talar neck
38
Arthroscopy of the Ankle joint
39
Arthroscopy of the Ankle joint
3) A.L.C - Impingement
40
Arthroscopy of the Ankle joint
41
Arthroscopy of the Ankle joint
42
Arthroscopy of the Ankle joint
43
Arthroscopy of the Ankle joint
4) A.L.C - T.F.L Tear
44
Arthroscopy of the Ankle joint
45
Arthroscopy of the Ankle joint
46
Arthroscopy of the Ankle joint
47
Arthroscopy of the Ankle joint
48
Arthroscopy of the Ankle joint
5) A.L.C - Rec.Sprain
49
Arthroscopy of the Ankle joint
50
Arthroscopy of the Ankle joint
Talus
Lat.M
Lat.M
51
Arthroscopy of the Ankle joint
52
Arthroscopy of the Ankle joint
6) T.F.J Instability
53
Arthroscopy of the Ankle joint
T.F.J
Talus
54
Arthroscopy of the Ankle joint
T.F.J
T.F.J
55
Arthroscopy of the Ankle joint
7)Anterior Impingement 'Kissing Lesion'
56
Arthroscopy of the Ankle joint
57
Arthroscopy of the Ankle joint
Osteophyte
Talus
Probe
58
Arthroscopy of the Ankle joint
Talus
Talar neck
Kissing Osteophyte
59
Arthroscopy of the Ankle joint
Air buble
Talus
Talar neck
Kissing Osteophyte
60
Arthroscopy of the Ankle joint
Talus
Talar neck
Kissing Osteophyte
61
Arthroscopy of the Ankle joint
62
Arthroscopy of the Ankle joint
8)Chondromalacia
63
Arthroscopy of the Ankle joint
Chondromalacia of tibia
64
Arthroscopy of the Ankle joint
Chondromalacia of tibia
65
Arthroscopy of the Ankle joint
Chondromalacia of tibia
66
Arthroscopy of the Ankle joint
Chondromalacia of tibia
67
Arthroscopy of the Ankle joint
Chondromalacia of tibia
68
Arthroscopy of the Ankle joint
TFJ
Post.TFL
69
Arthroscopy of the Ankle joint
Chondromalacia of Talus
TFJ
70
Arthroscopy of the Ankle joint
71
Arthroscopy of the Ankle joint
Post T.F.L
72
Arthroscopy of the Ankle joint
73
Arthroscopy of the Ankle joint
O.C.D
74
Arthroscopy of the Ankle joint
O.C.D
75
Arthroscopy of the Ankle joint
76
Arthroscopy of the Ankle joint
77
Arthroscopy of the Ankle joint
9)Secondary Chondral Damage
78
Arthroscopy of the Ankle joint
Shearing trauma
79
Arthroscopy of the Ankle joint
80
Arthroscopy of the Ankle joint
81
Arthroscopy of the Ankle joint
Post trauma
82
Arthroscopy of the Ankle joint
Post trauma
83
Arthroscopy of the Ankle joint
84
Arthroscopy of the Ankle joint
85
Arthroscopy of the Ankle joint
Tibia
Loose cartilage
Talus
86
Arthroscopy of the Ankle joint
Tibia
Med.Mal
Talus
87
Arthroscopy of the Ankle joint
10)Loose Body
88
Arthroscopy of the Ankle joint
Post trauma- Loose Body
Tibia
Loose fragment
Talus
89
Arthroscopy of the Ankle joint
Post trauma Loose Body
Posterior capsule
Tibia
Talus
90
Arthroscopy of the Ankle joint
Post trauma Loose Body
Posterior capsule
91
Arthroscopy of the Ankle joint
Post trauma Loose Body
Tibia
Grasper
Talus
92
Arthroscopy of the Ankle joint
Talus
Loose Body
Talar neck
93
Arthroscopy of the Ankle joint
O-A
Tibia
Talus
94
Arthroscopy of the Ankle joint
Thank you for your attention
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