Clinical Prediction Rules

Darryl Yardley - one of my physiotherapy colleagues asked me if I could list some Clinical Prediction Rules / Indications for Surgery.

My main clinical indications are the following:

1) Ankle pain and instability for greater than 1 year despite non-operative management / physiotherapy.

2) Clear 2+ anterior drawer sign

3) Evident varus / valgus instability with stress testing

4) Palpable crepitus in the ankle (this can be caused by an OCD lesion or Ankle Osteoarthritis).

Ankle Arthroscopy + Brostrum Video

I have attached 2 videos that are quite representative of the surgery performed.  These videos are by Dr. Brian Weatherby of Steadman Hawkins Clinic of the Carolinas.

Management of Acute and Chronic Ankle Instability

I have attached a 2008 article from JAAOS summarizing the management options for Acute and Chronic Ankle Instability.