The Athlete’s Ankle-Rachel Shakked

Video Transcription

Video Summary

In this video, Dr. Rachel Shaked, an orthopedic foot and ankle surgeon, discusses ankle impingement syndrome and tendon injuries. Ankle impingement syndrome can be caused by bony or soft tissue issues. Soft tissue impingement involves the synovium getting caught in the ankle joint or hypertrophy of Bassett's ligament after an ankle sprain. Symptoms include worsened pain with ankle dorsiflexion and activities like running or jumping. An MRI is often performed to rule out any osteochondral lesion of the talus. Nonoperative treatments like activity modification, NSAIDs, bracing, and immobilization are attempted first. However, if surgery is necessary, an arthroscopic approach is often used to resect the bone spur. Postoperative recovery involves nonweight bearing for a few weeks, followed by gradual weight bearing and rehabilitation exercises. For posterior ankle impingement, which is more common in dancers and soccer players, surgery can also be performed endoscopically. The video also covers Achilles tendon ruptures, peroneal tendon pathology, and their respective treatments. Overall, arthroscopic approaches for ankle impingement have high success rates, while Achilles rupture treatment depends on several factors, and peroneal tendon pathology is primarily treated through open approaches, but future endoscopic options may become more prevalent.

Keywords

ankle impingement syndrome

tendon injuries

soft tissue impingement

arthroscopic approach

Achilles tendon ruptures