By C. Niek van Dijk
Ankle accidents are frequently activity comparable and pose a diagnostic and healing problem. during the last 25 years, Niek van Dijk, founding father of the Amsterdam Foot and Ankle institution and writer of this e-book, has constructed a brand new philosophy of ankle arthroscopy. It involves a complete method such as quite a few diagnostic options and the appliance of a few minimally invasive endoscopic recommendations. Use of those innovations has unfold in the course of the global; they're now famous because the state-of-the-art and feature been used to regard many prime expert athletes. This diagnostic and working handbook offers the Amsterdam Foot and Ankle institution technique for a large choice of ankle and hindfoot difficulties. transparent step by step directions are supplied with assistance from quite a few top of the range illustrations, such a lot of that are in colour. entry to an online academic website is usually on hand to readers.
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Extra resources for Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School
5 elongated. There are several ways of performing an anterior drawer test (Van Dijk 1994). In most test situations the foot is moved only anteriorly relative to the tibia. The ankle is placed in slight plantar flexion. This is an incorrect way to perform the anterior drawer test and is associated with a higher risk of false-negative test results. It has been shown that the anterior drawer is not a straightforward translation of the talus in relation to the tibia but that it is a rotatory movement (Van Dijk 1994).
The direction of this K-wire is the direction of the X-ray beam in a standard lateral ankle X-ray (also see Fig. 1). (a) As seen on the lateral projection, the red osteophyte is invisible (arrow). (b) View as seen from a proximal direction: the K-wire is clearly visible. The most anterior part of the distal tibia is the lateral anterior cortex (arrow). The anteromedial cortex is located more posterior. The anteromedial osteophyte is therefore not visible on the lateral X-ray. (c) Oblique view of the same specimen without osteophyte.
In our study 81 % of osteochondral defects were identified on CT scan correctly (Verhagen et al. 2005). Only five false-negative cases were found in 29 OCD patients. Four of these were pure chondral lesions without bony involvement. Since the cause of the pain lies in the bone, the relevance of detecting these lesions is questionable (Van Dijk et al. 2010; Madry et al. 2010). MRI allows visualization of the overlying abnormalities in the cartilage, but it is not as useful in showing the exact cortical outlines.
Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School by C. Niek van Dijk