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Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome?

Publication ,  Journal Article
Araoye, I; Pinter, Z; Lee, S; Netto, CDC; Hudson, P; Shah, A
Published in: Foot Ankle Spec
August 2019

BACKGROUND: Multiple ankle pathologies have been found to coexist with chronic lateral ankle ligament instability, but their prevalence varies widely in the literature. The purpose of this study is to reexamine the prevalence of these associated pathologies and to determine their impact on reoperation rate. METHODS: We retrospectively reviewed 382 cases of lateral ankle ligament repair/reconstruction between June 2006 and November 2016. Patient charts and radiograph reports were examined for the presence of any associated foot and ankle pathologies as well as clinical course. The effect of copathologies on reoperation rate was examined using binary logistic regression and the χ2 test. RESULTS: We included a total of 99 cases. Copathologies included peroneal pathology (75/99, 75.8%), ankle impingement (40/99, 40.4%), and osteochondral lesion of the talus (17/99, 17.2%); 36.4% (36/99) had a low-lying muscle belly of peroneus brevis. The total reoperation rate was 12/92 (13.1%). It was lower in cases with peroneal pathology (8.7% vs 27.5%, P = .032). CONCLUSION: Peroneal pathology, ankle impingement, and osteochondral lesions were the most common associated copathologies in surgical patients with chronic lateral ankle ligament instability. The presence of peroneal pathology may lead to fewer reoperations, possibly as a result of a more comprehensive first-time surgical approach. Level of Evidence: Level III: Retrospective cohort.

Duke Scholars

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

August 2019

Volume

12

Issue

4

Start / End Page

311 / 315

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Talus
  • Retrospective Studies
  • Reoperation
  • Prevalence
  • Plastic Surgery Procedures
  • Orthopedic Procedures
  • Muscular Diseases
  • Muscle, Skeletal
 

Citation

APA
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ICMJE
MLA
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Araoye, I., Pinter, Z., Lee, S., Netto, C. D. C., Hudson, P., & Shah, A. (2019). Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome? Foot Ankle Spec, 12(4), 311–315. https://doi.org/10.1177/1938640018793513
Araoye, Ibukunoluwa, Zachariah Pinter, Sung Lee, Cesar De Cesar Netto, Parke Hudson, and Ashish Shah. “Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome?Foot Ankle Spec 12, no. 4 (August 2019): 311–15. https://doi.org/10.1177/1938640018793513.
Araoye I, Pinter Z, Lee S, Netto CDC, Hudson P, Shah A. Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome? Foot Ankle Spec. 2019 Aug;12(4):311–5.
Araoye, Ibukunoluwa, et al. “Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome?Foot Ankle Spec, vol. 12, no. 4, Aug. 2019, pp. 311–15. Pubmed, doi:10.1177/1938640018793513.
Araoye I, Pinter Z, Lee S, Netto CDC, Hudson P, Shah A. Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome? Foot Ankle Spec. 2019 Aug;12(4):311–315.
Journal cover image

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

August 2019

Volume

12

Issue

4

Start / End Page

311 / 315

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Talus
  • Retrospective Studies
  • Reoperation
  • Prevalence
  • Plastic Surgery Procedures
  • Orthopedic Procedures
  • Muscular Diseases
  • Muscle, Skeletal