Value of arthroscopy in the management of acute lesions of the distal tibiofibular joint.

IF 2 3区 医学 Q2 ORTHOPEDICS International Orthopaedics Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI:10.1007/s00264-024-06222-4
Camille Choufani, Emilie Bilichtin, Didier Demory, Paul Tannyeres, Paul Teixeira, Robin Rassat, Bernard De Geofroy, Olivier Barbier
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Abstract

Purpose: Managing the distal tibiofibular (DTF) joint remains a challenge despite recent developments. Ankle arthroscopy is emerging as a diagnostic and therapeutic means. Our study aimed to compare preoperative imaging data and arthroscopic data, with the hypothesis that imaging alone is insufficient to evaluate acute laxity, and with arthroscopy as the reference examination.

Methods: All patients treated in 2023 in our department for an acute isolated DTF lesion were included prospectively. Preoperative radiographic and MRI imaging were compared with arthroscopic data.

Results: Ten patients were treated. For five patients, the instability was doubtful after carrying out an appropriate imaging assessment (X-rays of both ankles, MRI). For four of these five patients, instability was confirmed by arthroscopy. Arthroscopy was useful for suturing the anterior bundle of the DTF joint for two patients and allowed for verifying the reduction in the sagittal and coronal planes for two patients. No complications were detected.

Conclusions: Arthroscopy in isolated acute DTF lesions seems to provide a diagnostic and therapeutic advantage. Its use may allow for exhaustive assessment and complete repair of lesions. It must be offered as soon as possible; a delay in specialized imaging may delay therapeutic care.

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关节镜在治疗胫腓骨远端关节急性损伤中的价值。
目的:尽管最近取得了一些进展,但胫腓骨远端(DTF)关节的治疗仍然是一项挑战。踝关节镜正在成为一种诊断和治疗手段。我们的研究旨在比较术前成像数据和关节镜数据,假设仅靠成像不足以评估急性松弛,并以关节镜作为参考检查:方法: 2023年在我科接受治疗的所有急性孤立DTF病变患者均被纳入前瞻性研究。结果:10 例患者接受了治疗:结果:10 名患者接受了治疗。其中五名患者在进行了适当的影像学评估(双踝关节X光片、核磁共振成像)后,对不稳定性产生了怀疑。在这五名患者中,有四名患者的不稳定性通过关节镜检查得到了证实。关节镜检查有助于缝合两名患者的DTF关节前束,并可验证两名患者矢状面和冠状面的缩小情况。没有发现并发症:结论:关节镜检查在孤立的急性 DTF 病变中似乎具有诊断和治疗优势。结论:对孤立的急性 DTF 病变进行关节镜检查似乎具有诊断和治疗优势,可对病变进行全面评估和彻底修复。必须尽快进行关节镜检查,延误专业影像学检查可能会延误治疗。
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来源期刊
International Orthopaedics
International Orthopaedics 医学-整形外科
CiteScore
5.50
自引率
7.40%
发文量
360
审稿时长
1 months
期刊介绍: International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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