By Ned Amendola
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Extra resources for AANA Advanced Arthroscopy. The Foot and Ankle
B FIGURE 2-9 A, The posterior lateral process, or tubercle, of the talus is called Stieda’s process. Occasionally, an accessory ossicle communicates with the posterolateral tubercle, and it is called the os trigonum. B, A lateral radiograph of the foot shows the os trigonum. 5. 6. Inman VT. The subtalar joint. In: The Joints of the Ankle. 35-44. Perry J. Anatomy and biomechanics of the hindfoot. Clin Orthop. 1983;(177):9-15. Parisien JS. Arthroscopy of the posterior subtalar joint. In: Current Techniques in Arthroscopy.
The posterolateral portal is lateral to the Achilles tendon. The posteromedial portal is made just medial to the Achilles tendon. In the horizontal plane, the posteromedial portal is located at approximately the same level as the posterolateral portal. The important anatomic landmarks are the Achilles tendon and the lateral malleolus. The medial aspect of the posterior subtalar joint is tighter than on the lateral side, possibly increasing the risk of iatrogenic cartilage damage. The tibial nerve, the posterior tibial artery, and the medial calcaneal nerve are in proximity and can be at risk when the posteromedial portal is used.
Scand J Med Sci Sports. 1995;5:64-70. Sun YQ, Slesarenko YA. Joint distraction may be unnecessary in ankle arthroscopy. Orthopedics. 2006;29:118-120. C H A P T E R 4 Diagnostic Arthroscopy for the Ankle and Subtalar Joints James W. Stone The ankle is a highly constrained joint composed of complex, curved articular surfaces that are stabilized by ligaments with various degrees of laxity. These anatomic constraints make arthroscopy of the ankle joint more difficult than in larger joints such as the knee and shoulder.
AANA Advanced Arthroscopy. The Foot and Ankle by Ned Amendola