Fig 1.

Needle arthroscopic approach to the left ankle via the anterolateral and medial portals. The anteromedial portal is used as primary vision portal, and the anterolateral portal is used as primary intervention portal. A syringe is connected to a 3-way tap—which is connected to the sheath—to distend the joint with sterile saline solution. The saline solution can be injected by an assistant surgeon. In the anterolateral portal a 2 to 3 mm shaver is inserted. This shaver is used to dissect soft-tissue and allow for adequate visualization of the ankle joint.