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Arthroscopic Decompression Of Bony Impingement
Dr. James Chen, M.D. - In San Francisco, CA



Dr. Chen’s surgical technique for ankle arthroscopy:


An arthroscopic procedure performed to remove bone spurs causing pain or decreased motion in the ankle. Two to four small incisions are made around the ankle. An arthroscopic camera and instruments are used to inspect the joint and identify bone spurs. Any soft tissue encompassing the spurs is removed. An arthroscopic burr is then used to shave down the spurs. Ankle motion is tested and any additional impingement sites identified are decompressed in the same manner.


Common Questions about Arthroscopic Decompression Of Bony Impingement

What is bony impingement?

Bony impingement is the result of the pinching of the ankle bones on each other. Continual repetition of this can lead to the formation bone spurs which can be painful and cause loss of motion.

What are symptoms of bony impingement?

Symptoms of bony impingement include clicking noises, pain with flexion and weight bearing of the ankle, and swelling of the ankle area.

What does the surgery procedure consist of?

For decompression of bony impingement, the surgeon makes 2-4 small cuts on the ankle and uses a camera to identify any bone spurs. A burr is then used to shave down the spurs. Any additional impingement sites are shaved down as well.

What is the recovery process like?

After the surgery, patients are placed in a splint for 1 week followed by physical therapy. Depending on the severity of the pathology, patients can expect to return to normal activity after a few months.

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