When Is Ankle Arthroscopy Indicated in Ankle Instability?

Syndesmotic instability. (A) Normal preoperative radiograph. (B,C) Disruption of the anterior tibiofibular ligament. (D) Anterior tibiofibular ligament remnant after arthroscopic debridement.

Post-operative radiographs of the case described in Figure 1, after syndesmotic fixation with Arthrex TightRope (Arthrex, Naples, FL).

Magnetic resonance imaging showing a chondral lesion of the postero-medial aspect of the talar dome in a patient with associated lateral ankle instability.

Chondral lesion of the talar dome. (A) Chondral flap. (B) Debridement and curetting of the lesion, after flap's removal. (C) The lesion after the debridement.

(A) Anterior bony impingement. (B) Result after arthroscopic osteoplasty.

Lateral malleolus bony avulsion in a young basketball player with chronic lateral ankle instability.

(A) Portals' positioning for tendoscopy and modified lateral approach for Broström procedure, including the portals. (B,C) Endoscopic images of the peroneal tendons.

Ankle arthroscopy associated with Broström procedure (A) Positioning of the anteromedial and anterolateral (AL) portals and approach to the lateral compartment, including the AL portal. (B) AL approach for Broström procedure.