Victorian Orthopaedic Foot & Ankle Clinic
Your Practice Online
Victorian Orthopaedic Foot & Ankle Clinic : (03) 9428 9944
 

Patient Info /Appointments

Ankle Instability and Ankle Joint Pathology

Ankle instability after traumatic sprains is a very common condition. After excluding an associated fracture with an X-ray the initial treatment of a sprained ankle involves support of the ankle in a CAM boot and/or ASO lace up ankle brace combined with a physiotherapist led ankle rehabilitation program. With this approach 9 in 10 patients after their first bad ankle sprain will do well. Unfortunately, however, 1 in 10 patients will experience further instability symptoms or persistent ankle pain. At this point referral to our clinic is appropriate for consideration of ankle stabilization surgery.

Usually our surgeons will arrange for an MRI scan of the ankle prior to determining the best surgical procedure for the problematic ankle. Frequently the MRI scan will identify problems such as cartilage and peroneal tendon injuries that also need to be addressed at the time of ligament reconstruction surgery.

Case - 1  

This video demonstrates the mechanism of ankle instability (rolling the ankle)

Video illustrating the repair of the ankle ligaments

Osteochondral Defect - MRI - Victorian Orthopaedic Foot & Ankle Clinic

This MRI shows damage to the cartilage in the ankle. Such damage is often referred to as an Osteochondral Defect (OCD). Depending on symptoms and size of the lesion surgical intervention with an ankle arthroscopy (keyhole surgery) is sometimes necessary

Osteochondral Defect - MRI - Victorian Orthopaedic Foot & Ankle Clinic

Following the MRI, the patient noted above had ongoing symptoms and underwent ankle arthroscopy. This is the view of the ankle joint during arthroscopy showing normal cartilage and bare bone where the cartilage was damaged (OCD). Removing any loose pieces of cartilage and smoothing out the damaged areas of bone or cartilage are usually effective in relieving symptoms.

Osteochondral Defect - MRI - Victorian Orthopaedic Foot & Ankle Clinic

This is an MRI of patient with pain at the front of the ankle joint. It shows early arthritis of the ankle joint with a prominent bony spur at the front of the ankle (red arrow) . Pain can result from this spur as it catches or pinches the soft tissues at the front of the ankle with movement

Bony Spur - Ankle Antroscopy - Victorian Orthopaedic Foot & Ankle Clinic

This is the view of the bony spur during ankle arthroscopy

Post Operative - Bony Spur - Ankle Antroscopy - Victorian Orthopaedic Foot & Ankle Clinic

View of the ankle after spur removed and rough edge of the ankle joint smoothed out

 
Our Services - Victorian Orthopaedic Foot & Ankle Clinic
Hallus Valgus (Bunions) - Victorian Orthopaedic Foot & Ankle Clinic
Hallux Rigidus - Victorian Orthopaedic Foot & Ankle Clinic
Toe Deformities - Victorian Orthopaedic Foot & Ankle Clinic
Ankle Arthritis - Victorian Orthopaedic Foot & Ankle Clinic
Ankle Instability - Victorian Orthopaedic Foot & Ankle Clinic
Flat Foot Deformity - Victorian Orthopaedic Foot & Ankle Clinic
Plantar Fasciitis - Victorian Orthopaedic Foot & Ankle Clinic
Midfoot Arthritis - Victorian Orthopaedic Foot & Ankle Clinic
Morton's Neuroma - Victorian Orthopaedic Foot & Ankle Clinic
Rheumatoid Foot - Victorian Orthopaedic Foot & Ankle Clinic
Foot and Ankle Fractures - Victorian Orthopaedic Foot & Ankle Clinic
Hindfoot Arthritis - Victorian Orthopaedic Foot & Ankle Clinic
High Arched Foot - Victorian Orthopaedic Foot & Ankle Clinic
Achilles Tendon Problems - Victorian Orthopaedic Foot & Ankle Clinic
Diabetic Neuroarthropathy - Victorian Orthopaedic Foot & Ankle Clinic
Conditions - Victorian Orthopaedic Foot & Ankle Clinic
Videos - Victorian Orthopaedic Foot & Ankle Clinic
Research - Victorian Orthopaedic Foot & Ankle Clinic
Current Clinical Trials - Victorian Orthopaedic Foot & Ankle Clinic
GP Information - Victorian Orthopaedic Foot & Ankle Clinic
Location Map - Victorian Orthopaedic Foot & Ankle Clinic
Download Heel Pain App