Fluoroscopic method for localization of the anteromedial portal for use in ankle arthroscopy: technique tip.

Abstract

Ankle arthroscopy has become a standard surgical technique for the treatment of many ankle pathologies. Over the past 30 years, the technique has undergone modification and standardization in order to improve surgical performance and outcomes. In contrast to the ankle joint, the hip joint is a deep joint, which makes visualization and palpation of the topographical anatomy quite difficult. The use of fluoroscopy has enabled the surgeon to successfully perform hip arthroscopy for the treatment of selective hip pathologies. Fluoroscopy also can improve the localization of the anteromedial portal for use in ankle arthroscopy. This technique is valuable for the less-experienced ankle arthroscopist, in resident education, and for the experienced arthroscopist when surface anatomy palpation and visualization is less than ideal due to soft tissue edema and obesity.