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