Journal Review

749 Words3 Pages
In the past few years, the field of sports medicine has been rapidly progressing as healthcare professionals strive to rehabilitate injured athletes in the fastest time and as safely as they can. In the case of athletes with a posterior ankle and hindfoot injury, where hindfoot arthroscopy is increasing in popularity over the traditional open reduction surgery due to decreased pain, infection rates, and postoperative blood loss. This procedure has been effective in minimizing the duration needed for recovery of athletes with hindfoot injury thus allowing him or her to return to completion in less time. Specifically the use of the 2-portal technique, first described by Van Dijk et al, has become well-known and a frequently used procedure among surgeons today. This 2-portal technique is commonly used to treat posterior ankle impingement, resection of os trigonum, flexor hallucis longus and peroneal tendon injury, osterchondral lesions of the ankle and resection of subtalar coalitions. A clinical diagnosis can be confirmed with the use of a radiograph, CT scan, MRI, or ultrasonograph. Most treatments for these hindfoot conditions are nonoperative, however if an athlete has tried nonoperative treatment and failed or needs a quick return to play, surgery is often recommended. The main risks of surgery is nerve damage, however the reported complication rate is reasonably low. In 7 published case series containing 385 outcomes of hindfoot arthroscopy patients only 24 (6.2%) of patients had complications. Twenty seven of these cases, performed by Calder et al, treated professional soccer players. The mean return rate of these professional athletes was 41days. However, an even faster mean return rate was reported of athletes with soft tis...

... middle of paper ...

...from repeatedly striking the ball. As the star player there is a huge demand for him to return to play. At this point the team doctor suggests hindfoot arthroscopy as the best option and the athlete agrees. However you have never done rehabilitation on an athlete with this condition. At this point you have no idea how long it will take this star player to recover. Luckily Calder et al used hindfoot arthroscopy to treat high demand athletes, 27 professional soccer players to be exact. Based on his research you now have a general recovery time for an athlete similar to yours. So what are the chances that this actually happens to you? I’d say they are very slim however the point that I am trying to make is that there are many scholarly studies and peer reviewed articles such as this one, that will help you as an athletic trainer if you encounter something new to you.

More about Journal Review

Open Document