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Endoscopic treatment of the posterior ankle impingement syndrome on amateur and professional athletes

  • Ankle
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To determine whether professional and amateur athletes showed differences in ankle function when treated with endoscopic technique for posterior ankle impingement syndrome, to verify the impact of the presence of associated lesions in clinical evolution and to assess time to return to sport (we hypothesize that time will be the only difference between groups).

Methods

Thirty-two athletes with a diagnosis of posterior impingement syndrome underwent surgery endoscopically. The American Orthopaedics Foot and Ankle Society (AOFAS) scale was used to compare functional results between amateur (15) and professional athletes (17). The satisfaction, time to return to sport, operative time, intraoperative findings and complications were evaluated, and the presence of associated injuries interfering in these results was verified.

Results

The preoperative AOFAS score range for the professional group was 62.9 ± 14 preoperatively and 92.3 ± 7.7 postoperatively, and for the amateur group was 67.9 ± 19.7 and 94 ± 9.3. The satisfaction was excellent or good in 94 % of all cases and fair in 6 %. The average time of surgery was 48.3 + 25 min. Bone involvement was present in 100 % of cases and complications in three cases. Time to return to sports was similar (n.s.) in both groups, and the mean time was 15.6 ± 13.7 and 16.3 ± 9 weeks, respectively. 

Conclusion

No significant difference regarding functional results and time to return to sports between professionals and amateur athletes operated was found. Athletes showed mainly good and excellent results and low complication rate. The presence of associated injuries did not significantly influence the results. With these results, the high-level athlete can better programme their surgeries so they can fully recover and perform better in the most important competitions.

Level of evidence

Level III.

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Authors and Affiliations

  1. Foot and Ankle Division, Clinics Hospital, State University of Campinas (UNICAMP), Campinas, Brazil

    Mauro Cesar Mattos e Dinato & André Felipe Ninomiya

  2. Instituto Vita, Rua Mato Grosso, 306 - 1o andar, Higienópolis, Sao Paulo, 01239-040, Brazil

    Mauro Cesar Mattos e Dinato, Isabela Ugo Luques, Marcio de Faria Freitas & Miguel Viana Pereira Filho

  3. Hospital do Servidor Publico Estadual de São Paulo, Sao Paulo, Brazil

    Miguel Viana Pereira Filho

  4. Departament of Orthopaedics and Traumatology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil

    Rodrigo Gonçalves Pagnano & Maurício Etchebehere

  5. Ortopedia e Traumatologia, FCM-UNICAMP, Rua Tessália Vieira de Camargo, 126, Cidade Universitária, Campinas, SP, 13081-970, Brazil

    Mauro Cesar Mattos e Dinato

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  1. Mauro Cesar Mattos e Dinato
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  2. Isabela Ugo Luques
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  3. Marcio de Faria Freitas
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  4. Miguel Viana Pereira Filho
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  5. André Felipe Ninomiya
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  6. Rodrigo Gonçalves Pagnano
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  7. Maurício Etchebehere
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Correspondence to Mauro Cesar Mattos e Dinato.

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Dinato, M.C.M., Luques, I.U., Freitas, M.d. et al. Endoscopic treatment of the posterior ankle impingement syndrome on amateur and professional athletes. Knee Surg Sports Traumatol Arthrosc 24, 1396–1401 (2016). https://doi.org/10.1007/s00167-015-3747-9

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  • DOI: https://doi.org/10.1007/s00167-015-3747-9

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