Chronic medial ankle instability medial drive through sign and surgical repair technique
It has been estimated that the deltoid ligament complex is injured in 5-15% of acute inversion ankle injuries. This injury can result in clinically significant pain and instability. Accurate diagnosis is a combination of positive clinical findings and advanced imaging. However, arthroscopy can be a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396722000829 |
| _version_ | 1811272159729811456 |
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| author | Michael A. Gentile, DPM, FACFAS Ryan B. Rigby, DPM, FACFAS Justin Fleming, DPM, FACFAS Shane Taylor, MD Collin Lamba, MD |
| author_facet | Michael A. Gentile, DPM, FACFAS Ryan B. Rigby, DPM, FACFAS Justin Fleming, DPM, FACFAS Shane Taylor, MD Collin Lamba, MD |
| author_sort | Michael A. Gentile, DPM, FACFAS |
| collection | DOAJ |
| description | It has been estimated that the deltoid ligament complex is injured in 5-15% of acute inversion ankle injuries. This injury can result in clinically significant pain and instability. Accurate diagnosis is a combination of positive clinical findings and advanced imaging. However, arthroscopy can be a valuable tool in the diagnosis of deltoid ligament (medial ankle) instability. The authors describe the medial drive-through sign, an arthroscopic finding indicative of clinically significant deltoid ligament instability in which the ability to pass a 4mm shaver between the medial malleolus and talus is indicative of a positive medial drive through sign. The authors further introduce an anchor assisted surgical repair technique for direct repair of the deltoid ligament complex that is currently being studied for later reporting and publication. |
| first_indexed | 2024-04-12T22:35:16Z |
| format | Article |
| id | doaj.art-bfa7b89b51d047ec9ec5699d090fde41 |
| institution | Directory Open Access Journal |
| issn | 2667-3967 |
| language | English |
| last_indexed | 2024-04-12T22:35:16Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj.art-bfa7b89b51d047ec9ec5699d090fde412022-12-22T03:13:53ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672022-01-0123100225Chronic medial ankle instability medial drive through sign and surgical repair techniqueMichael A. Gentile, DPM, FACFAS0Ryan B. Rigby, DPM, FACFAS1Justin Fleming, DPM, FACFAS2Shane Taylor, MD3Collin Lamba, MD4Division of Foot and Ankle Surgery, Department of Orthopaedics, Joan C. Edwards School of Medicine at Marshall University, Huntington, WV, USA; Corresponding author.Department of Orthopedics, Logan Regional Orthopedics, Logan, UT, USADepartment of Orthopedics, Rutgers-Robert Wood Johnson Medical School, University Orthopedic Associates, Somerset, NJ, USA2nd Year Resident, Department of Orthopaedics, Joan C. Edwards School of Medicine at Marshall University, Huntington, WV, USA3rd Year Resident, Department of Orthopaedics, Joan C. Edwards School of Medicine at Marshall University, Huntington, WV, USAIt has been estimated that the deltoid ligament complex is injured in 5-15% of acute inversion ankle injuries. This injury can result in clinically significant pain and instability. Accurate diagnosis is a combination of positive clinical findings and advanced imaging. However, arthroscopy can be a valuable tool in the diagnosis of deltoid ligament (medial ankle) instability. The authors describe the medial drive-through sign, an arthroscopic finding indicative of clinically significant deltoid ligament instability in which the ability to pass a 4mm shaver between the medial malleolus and talus is indicative of a positive medial drive through sign. The authors further introduce an anchor assisted surgical repair technique for direct repair of the deltoid ligament complex that is currently being studied for later reporting and publication.http://www.sciencedirect.com/science/article/pii/S2667396722000829 |
| spellingShingle | Michael A. Gentile, DPM, FACFAS Ryan B. Rigby, DPM, FACFAS Justin Fleming, DPM, FACFAS Shane Taylor, MD Collin Lamba, MD Chronic medial ankle instability medial drive through sign and surgical repair technique Foot & Ankle Surgery: Techniques, Reports & Cases |
| title | Chronic medial ankle instability medial drive through sign and surgical repair technique |
| title_full | Chronic medial ankle instability medial drive through sign and surgical repair technique |
| title_fullStr | Chronic medial ankle instability medial drive through sign and surgical repair technique |
| title_full_unstemmed | Chronic medial ankle instability medial drive through sign and surgical repair technique |
| title_short | Chronic medial ankle instability medial drive through sign and surgical repair technique |
| title_sort | chronic medial ankle instability medial drive through sign and surgical repair technique |
| url | http://www.sciencedirect.com/science/article/pii/S2667396722000829 |
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