Ankle Fractures Treatment | Ankle Arthroscopy | Ankle Arthritis Treatment | Tucson
Like any other joint in the body theankle can be affected byfractures, ligament and tendon injuries, arthritis anddeformities. Our physicians are amongstthe best in the nation for care of
theseconditions that include:
Fracturesand dislocations and sprainsChronicinstability and ligament injuriesArthritisTendoninjuries
Likeseverely sprained ankles, broken ankles are often caused bya fall, injury orcar accident. Symptoms that one or more of the threebones that make up theankle may be fractured are: severe pain in
theankle; swelling; bruising;tenderness; inability to bear weight; anddeformity of the joint. May beaccompanied by dislocation or ligamentdamage (sprain). Based on severity of the damage,
displacementandalignment of the fragments, the fracture may be treated in a cast,surgically with internal or external fixation. Your physician willreview your history, check your radiographic
exam,and determine thebest treatment for your injury.
Chronic ankle instabilityis a condition in which the outerportion of the ankle constantly "givesway." This condition typicallyoccurs after walking or running, althoughit may also occur whilestanding
still. Chronic ankle instability commonlyaffects athletes.
Causes of Chronic Ankle Instability
Chronic ankle instabilityoccurs as a result of an ankle sprainthat has not healed properly. A sprainedankle tears or stretchesconnective tissues, affecting your balance. Propertreatment of anankle
sprain is necessary to prevent chronic ankle instabilityandother conditions from occurring.
Symptoms of Chronic Ankle Instability
The most common symptomof chronic ankle instability is awobbly, unstable feeling within your ankle.Additional symptoms mayinclude pain or tenderness of the ankle, constantswelling anddiscomfort, and
continuous turning of the ankle when walking orrunningon uneven surfaces. Contact your doctor if you are experiencing any ofthe aforementioned symptoms, as these may be a sign of chronic
Diagnosing Chronic Ankle Instability
Most cases of chronic ankle instability can be treated throughnon-surgical measures; these may include physical therapy, painkillers,or ankle bracing. Severe cases of chronic ankle instability that
remainunresponsive to conservative treatment methods may require surgicalcorrection. Surgery for chronic ankle instability involves repairing orreconstructing the damaged ligaments that are
responsible for yoursymptoms. Your doctor will develop a customized treatment plan based onyour individual condition.
Arthroscopy is aminimally invasive procedure used to diagnoseand treat injuries andabnormalities within the joints. This procedureis commonly used to confirm adiagnosis made by physical
examinationand imaging techniques. It can also beused to treat conditions withinthe joints, if they are not too complicated.
Although most commonlyperformed in the knee and hip,arthroscopy can also be beneficial in diagnosingand treatingconditions of the ankle joint. While ankle surgery once requiredaninvasive open
procedure that left patients with long hospital stays andrecovery times, many of those procedures can now be performed with thesimpler,less invasive arthroscopy.
What is ankle arthroscopy used for?
Ankle arthroscopy can beused to treat a wide range of ankleconditions and relieve the chronic painoften associated with theseconditions. Ankle arthroscopy is often successfulin treating:
Tissue bandsLigament tearsArticular cartilage damageBone spursTendonitisArthritis
Many of these proceduresonce required open surgery in order toaccess the ankle and treat thecondition. Oftentimes, your surgeon willperform ankle arthroscopy to confirmthe diagnosis of a
certaincondition, and then discover that the condition canbe treated as wellthrough this minimally invasive procedure.
How is this procedure performed?
Ankle arthroscopy isperformed on an outpatient basis and usestiny incisions to access the anklejoint. During this procedure, acamera tube called an arthroscope is insertedinto one of the incisionsand
small surgical instruments
The surgical instrumentswill be inserted if needed to remove orrepair tissue within the ankle joint.The instruments and arthroscopeare then removed and the incisions are closedwith sutures.
Thearthroscopy procedure usually takes 30 to 45 minutes toperform.
This procedure isperformed under general anesthesia. Patientsmay experience some pressure, butotherwise the actual procedure isbasically painless. The small incisions helpgreatly reduce therecovery
time needed from this procedure, and allow patientsto returnto work and other regular activities much sooner. Exercise and otherstrenuous activities should be avoided for six weeks after
What are the benefits of thisprocedure?
Arthroscopy offers manybenefits over a traditional open surgerybecause of its minimally invasivenature. This procedure has reducedthe trauma and severity associated with manyankle procedures,
andoffers patients the opportunity to get relief from theirpain through asimple, outpatient procedure.
Ankle arthroscopy offers patients:
Shorter recovery timesLess scarringLess bleedingSmaller incisionsNo cutting of muscles ortendonsLess pain and discomfort
What are the risks associated withthis procedure?
While ankle arthroscopyis considered a safe procedure overall,there are certain risks associated withany surgical procedure. Some ofthese risks include infection, nerve damage,and tingling,
numbnessand burning sensations. These risks are considered rare,as mostpatients undergo this procedure with little to no complications.
Although anklearthroscopy is a safe procedure that can benefitmany patients, it is not foreveryone. Talk to your doctor to learnmore about this procedure and to findout if it is right for you.
Like any other joint inthe body, the ankle can be affected byarthritis, a chronic condition that cancause pain, swelling andstiffness and an eventual loss of motion in theaffected area. Theankle is
the joint that connects the shinbone (tibia) to theupper boneof the foot (talus). Although the ankle is not affected by arthritisas commonly as other joints such as the hand and hip, it is still
aseriouscondition that can cause severe pain for those affected.
Arthritis is classifiedas an inflammation of a joint, and candevelop as a result of several differentcauses, but is most often fromthe degenerative wear and tear on a joint thatoccurs as we age.
Thebone ends of a joint are covered by a material calledcartilage whichhelps to cushion the bone and allow for a smooth movement ofthe boneswithin the joint. As we age, this cartilage gradually wears
away andleaves the bone ends rough and uncovered, causing symptoms to develop.
TypesOsteoarthritis - Thiscondition is common in older patientsand is the result of a consistent wearand tear on the joint over time,which causes the smooth cartilage on the endsof the bones to
becomeworn and frayed.Rheumatoid Arthritis - Thiscondition is a chronic immunesystem condition that can affect the entire bodyand causesinflammation as the body attacks and destroys its own
cartilage.Post-Traumatic Arthritis -This condition develops after aninjury, sometimes years after a fracture, andcauses effects similar toosteoarthritis.
The cause of anklearthritis can vary depending on the type ofcondition. It is believed thatosteoarthritis is a genetic conditionthat tends to run in families. Athletesand other active patients maybe
at a higher risk for post-traumatic
Ankle arthritis can alsobe caused by an infection of the jointthat causes damage to the cartilagecells, which cannot regrow, or byexcessive pressure in patients who are obese.
Patients with arthritisof the ankle may not experience anysymptoms as the cartilage holding the jointtogether becomes damaged.As the condition progresses, symptoms usually worsenand may
PainStiffnessSwellingInstabilityBone spursDeformity of the jointDifficulty walking
If the nerves surroundingthe joint become irritated as well, patients may experience numbness andtingling as well.
Treatment for anklearthritis depends on the type and severityof the condition, but usually beginswith the most conservativemethods.
Some patients mayexperience relief from their symptoms bywearing more comfortable shoes,wearing cushioned shoe inserts,limiting impact activities and wearing a brace.
Anti-inflammatorymedication and cortisone injections are oftenhelpful in relieving paintemporarily, especially during flare ups.
If these treatments areunsuccessful, patients may benefit frommore advanced treatments such as anklearthroscopy, ankle fusionsurgery or ankle replacement surgery.
Your doctor willdetermine which treatment option is best foryou based on your individualcondition. It is important to seektreatment for ankle arthritis as soon as possible to help prevent
theconditionfrom worsening. If you suspect that you may have anklearthritis, you shouldsee your doctor right away. He or she will reviewyour medical and familyhistory, and perform a physical
examination todiagnose this condition.
Although ankle arthritisusually cannot be prevented, there arecertain measures you can take to helpreduce your risk of developingthis condition, along with many others.
Talk to your doctor toassess your risk of developing anklearthritis and to learn more about how youcan prevent this condition.