Endoscopic lateral decompression of calcaneo-fibular impingement: Case Report and literature Review

INTRODUCTION AND IMPORTANCE: The calcaneo-fibular impingement syndrome is frequent after calcaneal fracture. The impinging lesion could be in bone and/or in soft tissue. The operative treatment aims to remove the impinging lesions either by open or endoscopic surgery. CASE PRESENTATION: We report a case of a 33-year female patient with calcaneo-fibular impingement syndrome. The condition was managed using endoscopic bone resection, soft tissue debridement and peroneal tendons release. CLINICAL DISCUSSION: Endoscopic treatment of calcalneo-fibular impingement syndrome has gradually been broadened as a safe, minimally invasive, and effective procedure. This endoscopic approach could reduce the wound complications associated with the open procedure and ensure early return to activity, better cosmetic and better patient satisfaction. The lateral approach could reduce nervous and tendinous complications associated with posterior approach. CONCLUSION: The endoscopic surgery using lateral approach is a reliable and a minimally invasive technique to address calcaneo-fibular impinging. However, this procedure is less useful for advanced cases of calcaneal malunion (Stephens and Sanders II and III).