The Role of Needle Arthroscopy in the Assessment and Treatment of Ankle Sprains

James J Butler; Andrew I Brash; Mohammad T Azam; Brittany DeClouette; John G Kennedy

doi:10.1016/j.fcl.2023.01.005

The Role of Needle Arthroscopy in the Assessment and Treatment of Ankle Sprains

Foot Ankle Clin. 2023 Jun;28(2):345-354. doi: 10.1016/j.fcl.2023.01.005. Epub 2023 Mar 8.

Authors

James J Butler¹, Andrew I Brash¹, Mohammad T Azam¹, Brittany DeClouette¹, John G Kennedy²

Affiliations

¹ Foot and Ankle Division, Department of Orthopedic Surgery, NYU Langone Health, 171 Delancey Street, 2nd Floor, New York, NY 10002, USA.
² Foot and Ankle Division, Department of Orthopedic Surgery, NYU Langone Health, 171 Delancey Street, 2nd Floor, New York, NY 10002, USA. Electronic address: john.kennedy@nyulangone.org.

PMID: 37137628
DOI: 10.1016/j.fcl.2023.01.005

Abstract

Lateral ankle ligament complex injuries are most commonly managed nonoperatively. If no improvements have been made following conservative management, surgical intervention is warranted. Concerns have been raised regarding complication rates following open and traditional arthroscopic anatomical repair. In-office needle arthroscopic anterior talo-fibular ligament repair provides a minimally invasive arthroscopic approach to the diagnosis and treatment of chronic lateral ankle instability. The limited soft tissue trauma facilitates rapid return to daily and sporting activities making this an attractive alternative approach to lateral ankle ligament complex injuries.

Keywords: ATFL; In-office needle arthroscopy; Lateral ankle ligament complex.

Publication types

Review

MeSH terms

Ankle Injuries* / diagnosis
Ankle Injuries* / surgery
Ankle Joint / surgery
Arthroscopy
Humans
Joint Instability* / diagnosis
Joint Instability* / etiology
Joint Instability* / surgery
Lateral Ligament, Ankle* / surgery
Sprains and Strains* / diagnosis
Sprains and Strains* / surgery