By C. Niek van Dijk
Ankle accidents are usually game similar and pose a diagnostic and healing problem. during the last 25 years, Niek van Dijk, founding father of the Amsterdam Foot and Ankle university and writer of this publication, has constructed a brand new philosophy of ankle arthroscopy. It involves a finished strategy including numerous diagnostic concepts and the applying of a few minimally invasive endoscopic concepts. Use of those thoughts has unfold during the global; they're now famous because the state-of-the-art and feature been used to regard many top expert athletes. This diagnostic and working handbook provides the Amsterdam Foot and Ankle college technique for a large choice of ankle and hindfoot difficulties. transparent step by step directions are supplied with assistance from quite a few top of the range illustrations, such a lot of that are in colour. entry to a web based academic web site is usually on hand to readers.
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Extra resources for Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School
8 Model of an ankle joint with red clay representing an anteromedial osteophyte on the anteromedial surface of the distal tibia and the anterior part of the medial malleolus. A K-wire is applied through the center of the medial malleolus and the center of the lateral malleolus. The direction of this K-wire is the direction of the X-ray beam in a standard lateral ankle X-ray (also see Fig. 1). (a) As seen on the lateral projection, the red osteophyte is invisible (arrow). (b) View as seen from a proximal direction: the K-wire is clearly visible.
The tibia articulates with the medial dome of the talus. This is the medial corner of the ankle. In this region, the anterior articular margin of the tibia deviates from its more horizontal configuration centrally and laterally to a more convex configuration in the coronal plane. At this medial articular notch, the arthroscope may be maneuvered most easily into the central and posterior aspects of the joint without damaging the articular surfaces (Fig. 22). The distal portion of the tibial lip directs slightly anteriorly in the sagittal plane.
Areas of articular damage should be carefully noted. The tibia articulates with the medial dome of the talus. This is the medial corner of the ankle. In this region, the anterior articular margin of the tibia deviates from its more horizontal configuration centrally and laterally to a more convex configuration in the coronal plane. At this medial articular notch, the arthroscope may be maneuvered most easily into the central and posterior aspects of the joint without damaging the articular surfaces (Fig.
Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School by C. Niek van Dijk