Meniscoid Bands

Video Transcription

0:00 Meniscoid bands are one of the causes of lateral gutter impingement syndrome and cause a painful snapping or clicking sensation. Here you can see the dense nature of this meniscoid band, named because of its appearance and similar texture to a torn meniscus in the knee. We’re viewing through the anteromedial portal, intrumenting through the anterolateral portal, and irrigating through the posterolateral portal. The talar dome is clearly seen beneath us, and the meniscoid band off to our right at approximately 2:00. The instrument being used to resect the band is a 3.5mm gator resector. It normally takes some minutes to remove this dense fribrotic tissue piecemeal. Associated with this dense fribrotic tissie is also synovitus, which is the reddish tissue you can see in the background.
1:04 The size of the lesion is demonstrated by the fact that the 3.5mm gator resector is only 3.5mm in diameter. Here we’re on the top of the meniscoid band, seeing the associated synovitus. All in all, therefore, in depth this band is some 8-9mm, Stretching throughout whole anterlateral compartment of the ankle joint. Removing this frees up the ankle joint and almost overnight allows the patient’s preoperative pain, snapping and clicking to be resolved.

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