Diagnosis and Operation Results for Chronic Lateral Ankle Instability with Subtle Cavovarus Deformity and a Peek-A-Boo Heel Sign.
Adult
Ankle
/ diagnostic imaging
Ankle Joint
/ diagnostic imaging
Female
Foot
Heel
/ diagnostic imaging
Humans
Joint Instability
/ diagnosis
Male
Metatarsal Bones
Metatarsus
/ diagnostic imaging
Middle Aged
Osteotomy
/ methods
Radiography
Plastic Surgery Procedures
Recovery of Function
Talipes Cavus
/ diagnostic imaging
Treatment Outcome
Visual Analog Scale
Ankle
foot deformities
joint instability
osteotomy
reconstructive surgical procedures
Journal
Yonsei medical journal
ISSN: 1976-2437
Titre abrégé: Yonsei Med J
Pays: Korea (South)
ID NLM: 0414003
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
10
03
2020
revised:
11
05
2020
accepted:
12
05
2020
entrez:
2
7
2020
pubmed:
2
7
2020
medline:
19
8
2020
Statut:
ppublish
Résumé
Cavovarus deformity is considered an anatomical risk factor for chronic lateral ankle instability (CLAI). However, subtle deformity can be difficult to detect, and its correction is controversial. The current study aimed to evaluate clinical and radiographic outcomes of a modified Broström procedure (MBP) with additional procedures for CLAI with subtle cavovarus deformity and a positive peek-a-boo heel sign. We reviewed the records of 15 patients who underwent MBP with additional procedures for CLAI with a positive peek-a-boo heel sign between August 2009 and April 2015. Consecutive physical and radiographic examinations were performed. The visual analog scale (VAS) for pain, the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, and the Karlsson-Peterson (KP) ankle score were applied to assess clinical outcomes. Weight bearing radiographs, hindfoot alignment view, and ankle stress radiographs were also examined. The mean follow-up period was 58.5 months. Calcaneal lateral closing wedge osteotomy was performed in seven patients to correct fixed hindfoot varus, and first metatarsal dorsiflexion osteotomy was performed in 11 patients to correct plantarflexion of the first ray. Three patients underwent both procedures. Mean VAS, AOFAS, and KP ankle scores improved significantly (
Identifiants
pubmed: 32608208
pii: 61.635
doi: 10.3349/ymj.2020.61.7.635
pmc: PMC7329740
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
635-639Informations de copyright
© Copyright: Yonsei University College of Medicine 2020.
Déclaration de conflit d'intérêts
The authors have no potential conflicts of interest to disclose.
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