Osteochondral Lesion of the Ankle

Osteochondral Lesion of the Ankle

Osteochondral lesions are areas of damage to cartilage and underlying bone in joints. They are commonly found in the ankle on the talus following trauma. Small unstable flaps of cartilage can often be managed arthroscopically with a debridement of the loose cartilage flap and bone 

Fractured or Broken Ankle

Fractured or Broken Ankle

Ankle fractures are one of the most common fractures accounting for approximately 9% of all fractures. They range from relatively minor simple avulsion fractures to more complex fractures involving both the tibia and fibula. Not all fractures require surgical treatment but in most cases patients 

Ankle Anthroscopy

Ankle Anthroscopy

Many ankle problems can now be managed arthroscopically. This means putting a camera and small instruments such as shavers into the joint through two small incisions either anteriorly or posteriorly. One of the advantages of an arthroscopy compared to a traditional open procedure is the 

Posterior Ankle Impingement

Posterior Ankle Impingement

Posterior ankle impingement is a condition which occurs with maximal ankle plantarflexion. It usually presents with posterolateral ankle pain. It is seen in dancers in the demi-pointe and full pointe positions, and footballers when leaving the ground in a jump and striking the ball in 

Ankle Sprain and Instability

Ankle Sprain and Instability

Lateral ankle sprains are one of the most common sporting injuries especially with sports such as basketball. They can result in injuries to the lateral ligaments, damage to the cartilage in the ankle joint itself (osteochondral injuries), and sometimes damage to the surrounding tendons such 

Osteolysis – a complication of Total Ankle Replacement

Osteolysis – a complication of Total Ankle Replacement

Osteolysis is a recognised complication of Total Ankle Replacement . Cysts develop in the bone adjacent to the replacement. If these become large the implant can become loose or subside. Some implants have a much higher incidence of osteolysis than others such as the old 

Ankle Arthritis

Ankle Arthritis

The pain and reduced mobility caused by ankle arthritis can prevent you from doing the things you enjoy. Primary ankle arthritis is rare,the commonest cause is post traumatic. Other causes include inflammatory arthropathies such as rheumatoid arthritis and psoriasis and also haemophilia. Patients usually present 

Lisfranc Injury

Lisfranc Injury

Jacques Lisfranc de St Martin was a surgeon in Napoleon’s Army and first described the lisfranc injury in 1813. A common mechanism then was falling from a horse whilst trapping their foot in the stirrup. This resulted in a fracture at the base of the 

Navicular Stress Fracture

Navicular Stress Fracture

Navicular stress fractures are most common in middle distance runners(see press). They usually present with vague midfoot pain during or after exercise. Early diagnosis with MRI and CT allows early treatment and immobilisation. Patients often however present late with well established fractures. These usually require 

Metatarsal Fracture

Metatarsal Fracture

5th metatarsal stress fractures are most commonly seen in good amateur and professional athletes. They usually present with vague lateral foot pain during or after exercise. Sometimes they can present with sudden severe pain when running and suddenly changing direction for example without any direct