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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 8, 1049-1054.
doi: 10.1302/0301-620X.90B8.20331  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Ossicles associated with chronic pain around the malleoli of the ankle

S. H. Han, MD, PhD, Assistant Professor, Orthopaedic Surgeon1; W. J. Choi, MD, Fellow, Orthopaedic Surgeon2; S. Kim, MD, PhD, Assistant Professor, Radiologist3; S.-J. Kim, MD, PhD, Professor of Orthopaedic Surgery2; and J. W. Lee, MD, PhD, Associate Professor, Orthopaedic Surgeon2

1 Department of Orthopaedic Surgery, Ajou University School of Medicine, Wonchon-Dong, Yeongtong-Gu, Suwon 443-721, South Korea.
2 Department of Orthopaedic Surgery, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-gu, Seoul 120-752, South Korea.
3 Department of Radiology, Yongdong Severance Hospital, 612 Eonjuro, Gangnam-gu, Seoul, South Korea.

Correspondence should be sent to Professor J. W. Lee; e-mail: ljwos{at}yuhs.ac

We undertook a retrospective review of 24 arthroscopic procedures in patients with symptomatic ossicles around the malleoli of the ankle. Most of the patients had a history of injury and localised tenderness in the area coinciding with the radiological findings. Contrast-enhanced three-dimensional fast-spoiled gradient-echo MRI was performed and the results compared with the arthroscopic findings. An enhanced signal surrounding soft tissue corresponding to synovial inflammation and impingement was found in 20 patients (83%). The arthroscopic findings correlated well with those of our MRI technique and the sensitivity was estimated to be 91%. At a mean follow-up of 30.5 months (20 to 86) the mean American Orthopaedic Foot and Ankle Society score improved from 74.5 to 93 points (p < 0.001). Overall, the rate of patient satisfaction was 88%.

Our results indicate that symptomatic ossicles of the malleoli respond well to arthroscopic treatment.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General