Cargando…

A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability

INTRODUCTION: Lateral premalleolar bursitis develops on the dorsolateral aspect of the foot anterior to the lateral malleolus, distinct from lateral malleolar bursitis located just around the lateral malleolus. PRESENTATION OF CASE: A 71-year-old woman visited an orthopedic clinic about 40 years aft...

Descripción completa

Detalles Bibliográficos
Autores principales: Tonogai, Ichiro, Sairyo, Koichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7933740/
https://www.ncbi.nlm.nih.gov/pubmed/33676290
http://dx.doi.org/10.1016/j.ijscr.2021.105671
_version_ 1783660680196390912
author Tonogai, Ichiro
Sairyo, Koichi
author_facet Tonogai, Ichiro
Sairyo, Koichi
author_sort Tonogai, Ichiro
collection PubMed
description INTRODUCTION: Lateral premalleolar bursitis develops on the dorsolateral aspect of the foot anterior to the lateral malleolus, distinct from lateral malleolar bursitis located just around the lateral malleolus. PRESENTATION OF CASE: A 71-year-old woman visited an orthopedic clinic about 40 years after an episode of ankle sprain and was diagnosed with lateral premalleolar bursitis and osteoarthritis of the left ankle. Stress radiography revealed left ankle anterolateral malleolar bursitis with varus and anterior instability. We opted for less invasive arthroscopic ankle arthrodesis over open resection to stop the communication of the bursitis with the ankle joint. The lateral premalleolar bursitis was located just over the anterolateral portal. The remaining cartilage in the talotibial joint was removed and the subchondral surface was exposed and curetted down to a bleeding surface by ankle arthroscopy. The talotibial joint was fixed with 3 6.0-mm cannulated cancellous screws. The foot and ankle were immobilized by cast for 4 weeks. Bony union was achieved about 8 weeks postoperatively. The patient could perform daily activities without pain and with no recurrence of the lateral premalleolar bursitis at the 1.5-year follow-up. DISCUSSION: To our knowledge, this is the first report on arthroscopic arthrodesis for ankle osteoarthritis with recalcitrant lateral premalleolar bursitis caused by the check valve mechanism of chronic ankle instability after old ankle sprain. CONCLUSION: We report a case of arthroscopic arthrodesis for osteoarthritis of the ankle associated with lateral premalleolar bursitis caused by the check valve mechanism of chronic ankle instability after old ankle sprain.
format Online
Article
Text
id pubmed-7933740
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-79337402021-03-12 A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability Tonogai, Ichiro Sairyo, Koichi Int J Surg Case Rep Case Report INTRODUCTION: Lateral premalleolar bursitis develops on the dorsolateral aspect of the foot anterior to the lateral malleolus, distinct from lateral malleolar bursitis located just around the lateral malleolus. PRESENTATION OF CASE: A 71-year-old woman visited an orthopedic clinic about 40 years after an episode of ankle sprain and was diagnosed with lateral premalleolar bursitis and osteoarthritis of the left ankle. Stress radiography revealed left ankle anterolateral malleolar bursitis with varus and anterior instability. We opted for less invasive arthroscopic ankle arthrodesis over open resection to stop the communication of the bursitis with the ankle joint. The lateral premalleolar bursitis was located just over the anterolateral portal. The remaining cartilage in the talotibial joint was removed and the subchondral surface was exposed and curetted down to a bleeding surface by ankle arthroscopy. The talotibial joint was fixed with 3 6.0-mm cannulated cancellous screws. The foot and ankle were immobilized by cast for 4 weeks. Bony union was achieved about 8 weeks postoperatively. The patient could perform daily activities without pain and with no recurrence of the lateral premalleolar bursitis at the 1.5-year follow-up. DISCUSSION: To our knowledge, this is the first report on arthroscopic arthrodesis for ankle osteoarthritis with recalcitrant lateral premalleolar bursitis caused by the check valve mechanism of chronic ankle instability after old ankle sprain. CONCLUSION: We report a case of arthroscopic arthrodesis for osteoarthritis of the ankle associated with lateral premalleolar bursitis caused by the check valve mechanism of chronic ankle instability after old ankle sprain. Elsevier 2021-02-25 /pmc/articles/PMC7933740/ /pubmed/33676290 http://dx.doi.org/10.1016/j.ijscr.2021.105671 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tonogai, Ichiro
Sairyo, Koichi
A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title_full A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title_fullStr A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title_full_unstemmed A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title_short A case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
title_sort case of ankle osteoarthritis associated with lateral premalleolar bursitis caused by chronic ankle instability
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7933740/
https://www.ncbi.nlm.nih.gov/pubmed/33676290
http://dx.doi.org/10.1016/j.ijscr.2021.105671
work_keys_str_mv AT tonogaiichiro acaseofankleosteoarthritisassociatedwithlateralpremalleolarbursitiscausedbychronicankleinstability
AT sairyokoichi acaseofankleosteoarthritisassociatedwithlateralpremalleolarbursitiscausedbychronicankleinstability
AT tonogaiichiro caseofankleosteoarthritisassociatedwithlateralpremalleolarbursitiscausedbychronicankleinstability
AT sairyokoichi caseofankleosteoarthritisassociatedwithlateralpremalleolarbursitiscausedbychronicankleinstability