By C. Niek van Dijk
Ankle accidents are frequently activity similar and pose a diagnostic and healing problem. during the last 25 years, Niek van Dijk, founding father of the Amsterdam Foot and Ankle tuition and writer of this publication, has constructed a brand new philosophy of ankle arthroscopy. It involves a complete method including a variety of diagnostic recommendations and the applying of a few minimally invasive endoscopic innovations. Use of those ideas has unfold during the international; they're now famous because the cutting-edge and feature been used to regard many major expert athletes. This diagnostic and working handbook offers the Amsterdam Foot and Ankle university technique for a large choice of ankle and hindfoot difficulties. transparent step by step directions are supplied with the aid of a number of fine quality illustrations, such a lot of that are in colour. entry to a web based academic web site is usually to be had to readers.
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Additional info for Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School
To decide for operative treatment, our diagnostic strategy requires a high specificity. Arthrography serves this goal (Van Dijk et al. 1998). MRI has not been investigated extensively, but it can be expected to be acquainted with a high specificity. 3 Additional Diagnostics? In case of the clinical diagnosis of an acute lateral ankle ligament rupture, it is questionable whether additional diagnostics should be asked for. It has been demonstrated that delayed physical examination has the highest accuracy (Van Dijk et al.
8). It has been shown that the standard lateral projection is capable of detecting only 40 % of the tibial and 32 % of the talar osteophytes (Tol et al. 2004). With the combination of AMI view radiographs, the percentage of detected tibial and talar osteophytes increased to 85 and 73 %, respectively, due to the high sensitivity of the AMI view radiographs for detecting anteromedial osteophytes (specificity 93 and 67 %) These AMI view radiographs have a high accuracy for detecting anteromedially located osteophytes.
Especially in case of postfracture changes. The diastasis is a b Preoperative Evaluation and Imaging not always easy to determine since the axial view of both ankles is not always made at the same level. A third problem is the unloaded situation. In the loaded situation diastasis might increase c Fig. 21 Arthroscopic view of a right ankle in a patient with a soft tissue impingement. This patient had no clinical signs of chronic syndesmotic instability. 5 mm bonecutter shaver is introduced. The shaver is introduced to treat the soft tissue impingement.
Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School by C. Niek van Dijk