Ankle Ligament Pathology

Applications open: 9 June 2025

Coming soon

Course details

Course duration:

10-12 months

Course fee:

€1500 for Full ESSKA Members or €2000 for others

Assessment & awards:

Part I - online theory assessment

Part II - in-person surgical skills assessment

Part III - clinical reasoning case study assessment

Introduction

Successful Ankle Ligament Pathology Module participants have achieved and demonstrated the background knowledge and practical skills required to undertake arthroscopic ankle ligament reconstruction and repair using state-of-the-art surgical techniques to the standard set by the ESSKA community.

About this course

Ankle Ligament Pathology Module Structure

  1. Theory component (online theory study and multiple-choice assessment)
  2. In-person surgical skills course (surgical skills assessment)
  3. Clinical reasoning (reflection on using techniques in practice, case study presentation)

Once registered, participants are expected to complete the module within 10-12 months unless additional time is requested due to special circumstances (e.g. due to illness or maternity/paternity leave).

It is anticipated that participants will spend approximately 50 hours (potentially 50 CPE - Continuous Professional Development hours) reading, reflecting, practicing and undertaking assessment associated with this Module.

The Ankle Ligament Pathology module addresses the following Core Competencies from the ESSKA Core Curriculum:

Lateral Ankle Ligament Injuries

B1 - Use of orthoses

B2 - Open repair and reconstruction

B3 - Arthroscopic repair and (minimally-invasive) reconstruction

Syndesmosis Injuries

C - Treatment of acute and chronic syndesmoses injuries.

What to expect

Part 1 is the theory learning and assessment stage.

To help with this, there are 3 'Preparatory Reading' tiles, each contains a 'book' with relevant articles (book 1 - syndesmosis, book 2 - ankle ligament part I, book 3 - ankle ligament part II), which you can read in your browser or download.

Assessment attempts are time locked, they will only be open during specific assessment windows.

  • The first attempt window will be from 1-14 September 2023.
  • The second attempt window will be from 15-21 September 2023.
  • The third and final attempt window will be from 22-28 September 2023.

Everyone will get a maximum of 3 attempts at the exam. Each attempt must be completed within the specific attempt window (so if you take and fail attempt 1, you must wait for the attempt 2 window to open).

It will be a 50 question, multiple choice format, you will have 60 minutes to complete the exam.

Each exam features a different set of 50 questions (so, attempt 1 is different to attempt 2, to attempt 3).

You need to take the exam in one sitting, so please ensure you will not be disturbed for 60 minutes. You will not be able to pause the exam, flag any questions, or go back to any questions. You also cannot save your progress.

The questions have been prepared from the preparatory materials sections, from the ESSKA Academy website, and drawing upon Ankle Ligament Pathology science and your own surgical experience.

The pass grade for the exam is 74%

If you do not achieve 74% in attempt 1, then you can try again with attempt 2, then attempt 3 if you need it. If you are unable to pass any of the attempts then you will be allowed to continue with the module, but you will not receive the ESSKA certification at the end of it.

If you miss an attempt window, you cannot get that back, it is marked as a 0%.


Part 2 is the in-person Surgical Skills Assessment event. This will take place in the Arthrex ArthroLab, in Munich, Germany, 30-31 October 2023.

In this tile you will find a copy of the surgical skills assessment criteria, including the expectations for minimum acceptable standards. You will see there are 8 sections you will be assessed on, with a pass grade of 3 out of 5 required in each in order to successfully complete this stage of the module.

You are also required to bring 1-2 case studies with you, these should be 'interesting or complex' cases which can generate discussion with the group.

 

Part 3 is the reflective practice component. 

For this part it is required that participants produce a video of an Ankle Ligament Pathology case (8 to 10 min length) including:

  • Pre-op clinical examination, X-rays, MRI figures e.t.c.
  • Demonstration of basic surgical steps of the procedure performed by the participants
  • Post-op clinical examination and post-op imaging (X-rays)

You may produce a supporting presentation or PDF to accompany your video.

It is vital that participants gain permission from patients for their case studies, this needs to be evidenced in the presentation. All patient data needs to be anonymized. Any video commentary needs to be in English.

In this step, it is important for participants to display reflective practice, including the techniques and theory they have covered during the module so far, therefore it is expected that the case studies/videos are new, as opposed to older cases you may have recorded in the past.

 

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