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El. knyga: Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School

  • Formatas: PDF+DRM
  • Išleidimo metai: 22-Apr-2014
  • Leidėjas: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • Kalba: eng
  • ISBN-13: 9783642359897
  • Formatas: PDF+DRM
  • Išleidimo metai: 22-Apr-2014
  • Leidėjas: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • Kalba: eng
  • ISBN-13: 9783642359897

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Ankle injuries are often sport related and pose a diagnostic and therapeutic challenge. Over the past 25 years, Niek van Dijk, founder of the Amsterdam Foot and Ankle School and author of this book, has developed a new philosophy of ankle arthroscopy. It entails a comprehensive approach which includes various diagnostic strategies and the application of a number of minimally invasive endoscopic techniques. Use of these techniques has spread throughout the world; they are now recognized as the state of the art and have been used to treat many leading professional athletes. This diagnostic and operating manual presents the Amsterdam Foot and Ankle School approach for a wide variety of ankle and hindfoot problems. Clear step-by-step instructions are provided with the help of numerous high-quality illustrations, most of which are in color. Access to a web-based educational site is also available to readers.



This book presents a state of the art approach to ankle arthroscopy that has been proven to give rise to fewer complications than other methods. It features clear, step-by-step instructions with the help of numerous high-quality illustrations.

Recenzijos

From the book reviews:

This book details the diagnosis and arthroscopic treatment of ankle disorders. The audience includes foot and ankle surgeons, sports medicine physicians, podiatrists, and general orthopedists caring for patients with foot and ankle disorders. I highly recommend it to all without reservation. (Edward Abraham, Doodys Book Reviews, October, 2014)

1 Introduction
1(4)
Reference
2(3)
Part I General Aspects
2 Preoperative Evaluation and Imaging
5(22)
2.1 Introduction
5(1)
2.2 Routine X-Ray
5(1)
2.2.1 Acute Injuries
5(1)
2.2.2 Chronic Injuries
5(1)
2.3 Additional Diagnostics: General Considerations
6(2)
2.3.1 Acute Injuries
6(1)
2.3.2 Chronic Injuries
7(1)
2.3.3 Chronic Injuries in Athletes
7(1)
2.4 Additional Diagnostics Subdivided for Type of Pathology
8(17)
2.4.1 Ankle Impingement
9(1)
2.4.2 Osteoarthritis
10(1)
2.4.3 Osteochondral Defect
11(3)
2.4.4 Acute Lateral Ankle Ligament Lesion
14(4)
2.4.5 Chronic Ankle Instability
18(2)
2.4.6 Syndesmotic Injuries
20(3)
2.4.7 Nonspecified Diagnosis
23(2)
References
25(2)
3 Arthroscopic Anatomy
27(40)
3.1 Introduction
27(1)
3.2 Ankle Joint
27(3)
3.3 Landmarks
30(1)
3.4 Arthroscopic Portals
31(13)
3.4.1 Anterior Portals
32(11)
3.4.2 Posterior Portals
43(1)
3.5 Ligaments of the Ankle
44(18)
3.5.1 Lateral Collateral Ligament
44(12)
3.5.2 Medial Collateral Ligament
56(1)
3.5.3 Ligaments that Join the Distal Epiphyses of the Tibia and Fibula
56(6)
References
62(5)
4 Instrumentation
67(14)
4.1 Arthroscopic Equipment
67(1)
4.2 Distraction
67(1)
4.3 Instrumentation
67(1)
4.4 Dedicated Ankle Arthroscopy Set
68(5)
4.5 Motorized Instruments
73(2)
4.6 Irrigation
75(4)
References
79(2)
5 Complications in Ankle Arthroscopy
81(16)
5.1 Introduction
81(1)
5.2 Complications Related to Approach
81(4)
5.3 Prevention of Complications
85(9)
Conclusion
94(1)
References
94(3)
Part II Anterior Ankle Arthroscopy
6 Anterior Ankle Arthroscopy: General Principles
97(24)
6.1 Introduction
97(1)
6.2 History
97(1)
6.3 Diagnostic Arthroscopy9
98(1)
6.4 Dorsiflexion Method Versus Routine Fixed Distraction
99(4)
6.5 Routine Joint Distraction Is Not Necessary to Perform Ankle Arthroscopy?
103(2)
6.6 Operative Setup: Dorsiflexion Method
105(12)
6.6.1 Portals
105(12)
Conclusion
117(1)
References
118(3)
7 Anterior Ankle Impingement
121(28)
7.1 Introduction
121(1)
7.2 Etiology
122(3)
7.3 Clinical Presentation
125(2)
7.4 Additional Radiographs
127(2)
7.5 Preoperative Considerations
129(1)
7.6 Preoperative Planning
130(1)
7.7 Operative Technique
130(9)
7.7.1 Positioning of the Patient
130(1)
7.7.2 Portals
130(6)
7.7.3 Anterolateral Bony Impingement
136(1)
7.7.4 Anteromedial Bony Impingement
137(1)
7.7.5 Anterolateral Soft Tissue Impingement
137(1)
7.7.6 Anteromedial Soft Tissue Impingement
138(1)
7.7.7 Removal of Medial Malleolar Ossicles
138(1)
7.7.8 Removal of Fibular Ossicles
138(1)
7.8 Rehabilitation
139(1)
7.9 Results
140(6)
References
146(3)
8 Osteochondral Lesions
149(38)
8.1 Introduction
149(1)
8.2 Cause of the Pain
150(1)
8.3 Clinical Presentation of a Chronic Lesion
151(1)
8.4 Additional Diagnostics
152(3)
8.5 Operative Treatment Options
155(6)
8.6 Classification and Staging
161(1)
8.7 Operative Technique, Debridement, and Bone Marrow Stimulation
161(10)
8.7.1 Preoperative Planning
162(3)
8.7.2 Operative Technique
165(4)
8.7.3 Rehabilitation
169(1)
8.7.4 Results
170(1)
8.8 Fixation
171(2)
8.8.1 Preoperative Planning
171(2)
8.8.2 Operative Technique
173(1)
8.9 Osteochondral Transplant
173(3)
8.9.1 Operative Technique
173(2)
8.9.2 Rehabilitation
175(1)
8.10 Retrograde Drilling
176(1)
8.10.1 Preoperative Planning
176(1)
8.10.2 Operative Technique
176(1)
8.11 HemiCAP Implantation
176(4)
8.11.1 Preoperative Planning
176(1)
8.11.2 Operative Technique
177(3)
8.11.3 Rehabilitation
180(1)
8.12 Sliding Calcaneal Osteotomy
180(4)
8.12.1 Preoperative Planning
180(1)
8.12.2 Operative Technique
180(1)
8.12.3 Rehabilitation
180(4)
References
184(3)
9 Ankle Instability
187(22)
9.1 Anatomy
187(3)
9.2 Acute Ligament Injuries
190(7)
9.2.1 Diagnosis of Acute Ligament Injuries
193(1)
9.2.2 Treatment of Acute Ligament Injuries
194(3)
9.3 Ankle Joint Instability
197(7)
9.3.1 Epidemiology
198(1)
9.3.2 Diagnosis of Chronic Ankle Instability
198(1)
9.3.3 Treatment of Chronic Ankle Instability by Open Surgery
199(4)
9.3.4 Arthroscopic Stabilization
203(1)
9.4 Subtalar Instability
204(1)
Conclusion
205(1)
References
206(3)
10 The Role of Arthroscopy for Chronic Pain Problems After Supination Trauma
209(8)
10.1 Introduction
209(1)
10.2 Lateral Sequela
209(1)
10.3 Anterolateral Sequela
210(1)
10.4 Anteromedial Sequela
210(2)
10.5 Posteromedial Sequela
212(1)
10.6 Posterior Sequela
213(1)
10.7 Posterolateral Sequela
213(3)
10.8 Ankle Joint Pathology After Ankle Sprain
216(1)
References
216(1)
11 Arthroscopic Ankle Arthrodesis
217(6)
11.1 Introduction
217(1)
11.2 Indications
217(1)
11.3 Operative Procedure
218(1)
11.4 Rehabilitation
219(1)
11.5 Results
219(1)
References
220(3)
Part III Posterior Ankle Arthroscopy
12 Endoscopic Treatment of Hindfoot Disorders: General Principles
223(8)
12.1 History of the Technique
223(1)
12.2 Indications and Contraindications
224(1)
12.3 Procedures for Treatment of Articular Pathology
224(2)
12.3.1 Posterior Compartment Ankle Joint
225(1)
12.3.2 Posterior Compartment Subtalar Joint
226(1)
12.4 Procedures for Treatment of Periarticular Pathology
226(1)
12.4.1 Posterior Ankle Impingement
226(1)
12.4.2 Deep Portion of the Deltoid Ligament
226(1)
12.4.3 Flexor Hallucis Longus
226(1)
12.4.4 Peroneal Tendons
226(1)
12.4.5 Posterior Tibial Tendon
227(1)
12.4.6 Achilles Tendon and Retrocalcaneal Bursitis
227(1)
12.4.7 Neurovascular Bundle
227(1)
12.5 Technique: General Considerations
227(1)
References
228(3)
13 Posterior Ankle Impingement
231(28)
13.1 Introduction
231(2)
13.2 Anatomy
233(1)
13.3 Etiology
233(3)
13.3.1 Overuse
234(1)
13.3.2 Trauma
235(1)
13.4 Diagnosis
236(3)
13.4.1 History
236(1)
13.4.2 Physical Examination
236(2)
13.4.3 Diagnostic Imaging
238(1)
13.5 Differential Diagnosis
239(1)
13.6 Therapy
240(15)
13.6.1 Operative Technique for Os Trigonum Excision
241(11)
13.6.2 Operative Technique for Removal of a Hypertrophic Posterior Talar Process
252(2)
13.6.3 Endoscopic Treatment of Posterior Soft Tissue Impingement
254(1)
13.7 Pitfalls
255(1)
13.8 Results
256(2)
References
258(1)
14 Posterior Approach for Osteochondral Defect
259(6)
14.1 Introduction
259(1)
14.2 Preoperative Planning
259(1)
14.3 Operative Technique
259(3)
14.4 Rehabilitation
262(1)
References
263(2)
15 Flexor Hallucis Longus Release
265(10)
15.1 Introduction
265(1)
15.2 Etiology
265(1)
15.3 History and Physical Examination
265(4)
15.4 Treatment
269(1)
15.5 Operative Technique
269(3)
15.6 Results
272(1)
References
273(2)
16 Deltoid Ligament Pathology Treated by Means of a Two-Portal Hindfoot Approach
275(8)
16.1 Introduction
275(1)
16.2 Anatomy
275(1)
16.3 Trauma Mechanism
275(1)
16.4 History and Physical Examination
275(2)
16.5 Therapy
277(1)
16.6 Operation Technique
277(5)
References
282(1)
17 Retrograde Drilling for Large Cystic Lesions
283(8)
17.1 Introduction
283(1)
17.2 Etiology
283(1)
17.3 Treatment
283(1)
17.4 Operative Technique
284(5)
17.4.1 Introduction
284(1)
17.4.2 Case 1
284(1)
17.4.3 Case 2
284(5)
17.4.4 Evolution of the Technique
289(1)
References
289(2)
18 Other Indications: Posterior Ankle Joint
291(4)
18.1 Introduction
291(1)
18.2 Loose Bodies and Synovial Chondromatosis
291(1)
18.3 Posterior Tibial Rim Osteophytes
291(1)
18.4 Impingement After Total Ankle Prosthesis
291(1)
18.5 Cedell Fracture
291(1)
18.6 Avulsion of the Posterior Talofibular Ligament (PTFL)
292(3)
Part IV Other Endoscopic Procedures
19 Subtalar Arthroscopy
295(14)
19.1 Subtalar Joint Instability
295(1)
19.2 Indications
296(1)
19.3 Contraindications
296(1)
19.4 Equipment and Setup Subtalar Arthroscopy Lateral Approach
296(1)
19.5 Equipment and Setup Subtalar Arthroscopy Two-Portal Hindfoot Approach
297(1)
19.6 Subtalar Joint Anatomy
297(1)
19.7 Portal Placement and Safety
297(6)
19.7.1 Surgical Technique Lateral Approach
299(4)
19.7.2 Surgical Technique Two-Portal Hindfoot Approach
303(1)
19.8 Rehabilitation
303(1)
19.9 Specific Procedures
303(4)
19.9.1 Sinus Tarsi Syndrome
304(1)
19.9.2 Os Trigonum Syndrome
304(1)
19.9.3 Arthroscopic Subtalar Arthrodesis
305(1)
19.9.4 Subtalar Arthroscopy and Treatment of Calcaneal Fractures
306(1)
19.10 Complications
307(1)
References
307(2)
20 Subtalar Arthrodesis
309(8)
20.1 Introduction
309(1)
20.2 Anatomy
309(1)
20.3 History and Physical Examination
310(1)
20.4 Diagnostic Imaging
310(1)
20.5 Indications
310(1)
20.6 Contraindications
310(1)
20.7 Positioning
311(1)
20.8 Instruments
311(1)
20.9 Portals
311(1)
20.10 Operative Technique
312(1)
20.11 Postoperative Rehabilitation Protocol
312(3)
20.12 Pearls
315(1)
References
315(2)
21 Endoscopic Calcaneoplasty
317(18)
21.1 Introduction
317(1)
21.2 Terminology for Achilles-Related Pathology
317(4)
21.3 Anatomy
321(2)
21.4 Etiology
323(1)
21.5 History and Physical Examination
323(1)
21.6 Diagnostic Imaging
324(1)
21.7 Positioning
324(1)
21.8 Instrumentation
324(1)
21.9 Portals
324(1)
21.10 Surgical Technique
325(4)
21.11 Rehabilitation
329(1)
21.12 Patient Outcome
329(4)
References
333(2)
22 Achilles Tendoscopy
335(20)
22.1 Introduction
335(1)
22.2 Rationale for Treatment
335(4)
22.3 Etiology
339(1)
22.4 Risk Factors for Achilles Tendinopathy
339(2)
22.4.1 Overuse
339(1)
22.4.2 Previous Injury
340(1)
22.4.3 Alignment Lower Extremity
340(1)
22.4.4 Terrain
340(1)
22.4.5 Temperature
341(1)
22.5 Anatomy
341(1)
22.6 History and Physical Examination
342(1)
22.7 Diagnostic Imaging
342(1)
22.8 Surgical Treatment
343(4)
22.8.1 Positioning
344(1)
22.8.2 Instrumentation
344(1)
22.8.3 Portals
344(1)
22.8.4 Surgical Procedure
345(2)
22.9 Rehabilitation
347(1)
22.10 Results
347(5)
References
352(3)
23 Peroneal Tendoscopy
355(10)
23.1 Introduction
355(1)
23.2 Pathology
355(1)
23.3 Anatomic Study
356(2)
23.4 Surgical Technique
358(1)
23.5 Indications
358(3)
23.6 Patients
361(1)
23.7 Results
362(1)
References
363(2)
24 Recurrent Peroneal Tendon Dislocation
365(10)
24.1 Introduction
365(1)
24.2 Anatomy and Injury Mechanism
365(2)
24.3 Treatment Options
367(2)
24.4 Endoscopic Technique of Groove Deepening
369(4)
24.5 Rehabilitation
373(1)
24.6 Results and Considerations
373(1)
References
373(2)
25 Posterior Tibial Tendoscopy
375(12)
25.1 Introduction
375(1)
25.2 Pathology
375(1)
25.3 Anatomic Study
376(1)
25.4 Surgical Technique
377(2)
25.5 Indications
379(1)
25.6 Patients
380(2)
25.7 Results
382(1)
25.8 Discussion
383(1)
References
384(3)
26 Arthroscopy of the First Metatarsophalangeal Joint
387(10)
26.1 Introduction
387(1)
26.2 Indications
387(2)
26.2.1 Impingement Syndrome
387(1)
26.2.2 Osteochondritis Dissecans
388(1)
26.2.3 Sesamoiditis
388(1)
26.2.4 Hallux Rigidus
389(1)
26.3 Operative Technique
389(2)
26.4 Results
391(2)
26.5 Discussion
393(1)
References
394(3)
Index 397(8)
About the Author 405
Niek van Dijk, MD, PhD, is Professor of Orthopaedics and Head of the Orthopaedic Department of the Academic Medical Center Amsterdam, University of Amsterdam. Dr. van Dijk is a specialist in arthroscopic and reconstructive surgery of the knee, foot & ankle and sports medicine. His department has treated many professional athletes from all over the world. He undertook his professional training in Orthopaedic Surgery at the Academic Medical Center of the University Hospital of Amsterdam and in 1994 completed his PhD on diagnostic strategies in patients with severe ankle sprain. In 1998 he founded the Orthopaedic Research Center Amsterdam (ORCA) and has been Director of the Center since then. He became a full professor in 2002. Dr. van Dijk is a past President of the Dutch Orthopaedic Society, the Dutch Arthroscopic Society, and the Nordic Orthopaedic Federation. He is board member of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) and President of the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA). Diagnostic and therapeutic strategies for chronic ankle injuries have been a prominent focus of his research. Dr. van Dijk on average presents 25 international invited lectures each year and has published more than 250 scientific articles in indexed publications.