Last update:  April 22, 2014 

Latest News

March 2014

At the upcoming ESSKA Congress in Amsterdam, the new book of the Achilles Tendon Study Group (ATSG) will be presented: "Achilles Tendon Disorders, A Comprehensive Overview of Diagnostics and Treamtent"

This book on Achilles tendon disorders is the fourth production of the Achilles Tendon Study Group (ATSG) and is the final part of the Current Concepts series on Achilles tendon disorders. In collaboration with world leaders in this field, the ATSG has reviewed the available literature to provide a balanced consensus on the scope of Achilles tendon disorders

The Achilles Tendon Study Group is accommodated by ESSKA as and affiliated society. Since 1984 ESSKA is devoted to education, stimulating the further development of research, and providing a forum for presentation and discussion of issues on Arthroscopy Orthopaedic Sports Medicine and Knee Surgery.

In this ‘golden edition' the previous three editions are bundled, updated and supplemented with new chapters. Therefore this production provides the reader with a state-of-the-art overview of the current concepts on all Achilles tendon related problems, both acute injuries and chronic disorders, based on the best available evidence and expert opinions.


The 2nd International Congress on Cartilage Repair of the Ankle will be held at Intercontinental Hotel in Prague, Czech Republic on 11-12 April 2014.

Based on the highly successful 2012 International Congress on Cartilage Repair of the Ankle in Dublin, Ireland, the Scientific Committee is planning a high-quality scientific programme which consists of the latest evidence and experience on diagnosis and treatment of osteochondral lesions of the talus. The program will have several highlights including keynote lectures, expert debates, case based discussions, hot topic symposia (incl. the use of biologics, tissue engineering, implants, the role of alignment and future perspectives) and live-surgery.

Visit the Congress Website for more information, the Program and Registration.

We expect this to be an exciting event. Please, share it with us!

For any enquires, please contact the Organizing Secretariat of OIC srl at: infoAFAS2014@oic.it

This Foot and Ankle Arthroscopy Instructional Course will combine lectures from world-renowned faculty with hands-on cadaveric training and in-depth debate. The course content will include surgical approaches and arthroscopic procedures around the ankle joint and hindfoot, tendoscopies and repair procedures.
This course targets healthcare professionals interested in foot and ankle arthroscopy and in expanding their procedural development. The course is open to surgeons at all levels of experience.

Chairman: Prof. dr. Van Dijk.

For more information

From April 2 to 4 2014 the SEROD-AEA Congress will be held in Sevilla, Spain. This is the second joint congress of SEROD-AEA (Spanish Knee Society - Spanish Arthroscopy Association). The congress will include instructional courses, a series of prerecorded surgeries performed by leading surgeons, innovative workshops and expert panels. There will be also a number of keynote lectures delivered by prestigious Spanish and foreign surgeons, who will update us on the latest trends in our field. Prof. Van Dijk will present the keynote lecture "The ankle" on Thursday April 3 at 5 pm. Look at the website for more information.

Click here for the programme

The 16th biannual ESSKA Congress will be in Amsterdam from 14 - 17 May 2014. In addition to European ESSKA members, some of the best surgeons and sports scientists from all around the world have been invited. The Congress president is C. Niek van Dijk. Programme chairman are Stefano Zaffagnini, Roland Becker and Gino Kerkhoffs

The comprehensive scientific programme during the ESSKA Congress will include:
Highlight lectures by Andrew Amis (UK), Johan Bellemans (Belgium), Michael Kjaer (Denmark), Masahiro Kurosaka (Japan), Rui Reis (Portugal) and René Verdonk (Belgium)
• 220 free papers and over 700 posters
• 18 Instructional Course Lectures
• Debates and interactive case discussions
• Live surgical demonstrations (ESSKA-AFAS, ESSKA-EKA and ESSKA-ESA)
• Star Paper Session
• Orthopaedic Sports Medicine Comprehensive Review Course (full day)
• 53 symposia and 14 key note lectures
• National Awards Session
• PT symposia and workshops
Click here for the complete scientific programme

The online registration for this congress is already open. 

For more information CLICK HERE 

Knee Surg Sports Traumatol Arthrosc. 2014 March 1

The appearance of the pre-Achilles fat pad after endoscopic calcaneoplasty

Wiegerinck JI, Zwiers R, van Sterkenburg MN, Maas MM, van Dijk CN.

PURPOSE: To evaluate whether the imaging features of the retrocalcaneal recess normalize on a conventional radiograph after surgery for retrocalcaneal bursitis and evaluate whether it can be reused if complaints reoccur.
METHODS: Patients who underwent an endoscopic calcaneoplasty at least 2 years before were eligible for inclusion. A lateral conventional radiograph of the surgically treated hindfoot was made to assess the retrocalcaneal recess and pre-Achilles fat pad; images were analysed, clinical complaints were registered and evaluated. Radiographs were evaluated by two experienced observers (one orthopaedic surgeon one musculoskeletal specialized radiologist), these scored the images either as "normal" (no obliteration of retrocalcaneal recess and pre-Achilles fat) or as "abnormal".
RESULTS: Thirty patients (34 heels: 28 asymptomatic and 6 recurrent complaints) were included in this study. Observer one rated 12 images as "normal" (2 symptomatic heels and 10 asymptomatic), 22 "abnormal". Observer two rated 9 "normal" (1 symptomatic heels and 8 asymptomatic), 25 "abnormal". No correlation between the radiographic appearance and complaints (n.s.) was found. Cohen's kappa for interobserver agreement was low (0.11 n.s.).
CONCLUSION: The appearance of the retrocalcaneal recess on a lateral radiograph cannot be used as a reliable diagnostic criterion for retrocalcaneal bursitis in patients who previously underwent endoscopic calcaneoplasty. This study clinical relevance is based upon the conclusion that a lateral radiograph cannot be used after endoscopic calcaneoplasty, whereas previous work reported the diagnostic value of a lateral radiograph for retrocalcaneal bursitis prior to surgery

February 2014

ESSKA-AFAS (European Society of Sports Traumatology, Knee Surgery and Arthroscopy - Ankle and Foot Associates) organizes in close collaboration with the Hospital for Special Surgery the second International Congress on Cartilage Repair of the Ankle on 11 and 12 April 2014 in Prague, Czech Republic. The Scientific and Organising Committee of AFAS will present a programme on osteochondral lesions of the talus, featuring the latest advances in diagnosis and treatment at: keynote lectures;expert-led debates; case discussions; symposia; live surgeries.

C. Niek van Dijk - Congress President
John Kennedy - Congress President
Gino M.M.J. Kerkhoffs - Scientific Programme Chairman
Christopher Murawski - Scientific Programme Chairman
Milan Handl - Local Organiser
James F. Calder - Congress Budget
Daniel Haverkamp - Communication


For more information

Injury. 2014 Jan 31

Three-dimensional computed tomography is not indicated for the classification and characterization of calcaneal fractures

Veltman ES, van den Bekerom MP, Doornberg JN, Verbeek DO4, Rammelt S, Steller EP, Schepers T

This study determined inter- and intra-observer reliability for measurement of the angles of Böhler and Gissane, for the decision between surgical or conservative management and for the three mostly used classification systems for calcaneal fractures with the use of 2D-CT imaging versus 2D- and 3D-CT imaging. A consecutive series of 38 fractures in 36 patients, treated at a level II trauma centre between 2005 and 2008, were evaluated in two rounds by five observers. We measured the inter- and intraobserver reliability for the Sanders', Zwipp and Essex-Lopresti classification systems using the kappa values as described by Cohen. The intraclass correlation coefficient as described by Shrout and Fleiss was used to analyze inter- and intra-observer reliability of the angles of Böhler and Gissane. Usage of 2D-CT imaging interobserver reliability was fair for the Sanders' and Zwipp classifications and for measurement of the angle of Gissane, and it was moderate for measurement of the Essex-Lopresti classification system and measurement of the angle of Böhler. With the addition of 3D-CT imaging, the interobserver reliability was fair for the Sanders', Zwipp and Essex-Lopresti classification systems. The intraobserver reliability was fair for measurement of the angle of Gissane and it was moderate for the Sanders', Zwipp and Essex-Lopresti classification systems and for the measurement of the angle of Böhler. The addition of three-dimensional CT imaging did not increase inter- and intraobserver reliability for the classification of calcaneal fractures. Authors commented they experienced no additional benefit from 3D-CT imaging for the assessment of calcaneal fractures.

January 2014

J R Soc Interface. 2013 Dec

Current concepts: tissue engineering and regenerative medicine applications in the ankle joint

Correia SI, Pereira H, Silva-Correia J, Van Dijk CN, Espregueira-Mendes J, Oliveira JM, Reis RL.

Tissue engineering and regenerative medicine (TERM) has caused a revolution in present and future trends of medicine and surgery. In different tissues, advanced TERM approaches bring new therapeutic possibilities in general population as well as in young patients and high-level athletes, improving restoration of biological functions and rehabilitation. The mainstream components required to obtain a functional regeneration of tissues may include biodegradable scaffolds, drugs or growth factors and different cell types (either autologous or heterologous) that can be cultured in bioreactor systems (in vitro) prior to implantation into the patient. Particularly in the ankle, which is subject to many different injuries (e.g. acute, chronic, traumatic and degenerative), there is still no definitive and feasible answer to 'conventional' methods. This review aims to provide current concepts of TERM applications to ankle injuries under preclinical and/or clinical research applied to skin, tendon, bone and cartilage problems. A particular attention has been given to biomaterial design and scaffold processing with potential use in osteochondral ankle lesions.

Br J Sports Med. 2013 Dec

Economic evaluations of diagnostic tests, treatment and prevention for lateral ankle sprains: a systematic review.

Lin CW, Uegaki K, Coupé VM, Kerkhoffs GM, van Tulder MW.

OBJECTIVE: To assess and summarise the economic evidence regarding diagnostic tests, treatment and prevention for lateral ankle sprains.

METHODS: Potential studies were identified from electronic databases and trial registries and by scanning reference lists. Risk of bias and methodological quality were evaluated. Two independent reviewers screened, assessed studies and extracted data. Data were synthesised descriptively due to study heterogeneity.

RESULTS: A total of 230 records were identified; 10 studies were included. Five studies conducted a full economic evaluation and five studies involved cost analyses. Lack of blinding was the main risk of bias. The methodological quality of the full economic evaluations was fairly good. Valuation of costs, measurement of outcomes and sensitivity analysis were points for improvement. Single studies showed that the Ottawa ankle rules (OAR) was cost effective for diagnosing lateral ankle sprains in the emergency setting compared with existing hospital protocols; acute treatment with anti-inflammatory medication and the plaster cast for severe sprains appeared cost effective; and neuromuscular training was cost effective in preventing ankle re-injury.

CONCLUSIONS: Results of this current systematic review supplements the evidence provided by reviews of effectiveness. There is evidence to support the implementation of OAR in the emergency setting, the use of anti-inflammatory medication and the plaster cast in the acute phase, and the prescription of neuromuscular exercises to prevent re-injury. Although the evidence is limited due to the low number of studies, shortcomings in methodological quality and small sample sizes, the findings may be used to inform clinical practice and practice guidelines.

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