Isolated syndesmosis injuries often go unrecognized and are diagnosed as lateral ankle sprains; however, they are more disabling than lateral ankle sprains. The reported incidence of isolated syndesmosis injuries in acute ankle sprains ranges between 1% and 16%. When ankle disability lasts for more than 2 months after an ankle sprain, the incidence increases to 23.6%. Diagnostic workup may include stress radiographs, magnetic resonance imaging, or diagnostic arthroscopy. A simple stress test radiograph may reveal an unstable grade III syndesmosis sprain that may go unrecognized on plain anteroposterior and mortise or lateral radiographs of the ankle. The duration of symptoms in isolated syndesmosis injury is longer and more severe, often leading to chronic symptoms or ankle instability requiring operative stabilization.This article describes the clinical presentation, injury classification, and operative stabilization techniques of isolated syndesmosis injuries. The authors performed their preferred operative stabilization technique for isolated syndesmosis injury-arthroscopic debridement of the ankle with syndesmotic stabilization with a syndesmotic screw-in 4 patients. All patients were evaluated 1 year postoperatively with subjective and objective assessment scales. Three of 4 patients showed good improvement of general subjective ankle symptoms and subjective ankle instability rating and a high Sports Ankle Rating System score after 1 year.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3928/01477447-20121120-13 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cadaveric Diagnostic Study of Subtle Syndesmotic Instability Using a 3-Dimensional Weight-Bearing CT Distance Mapping Algorithm.
J Bone Joint Surg Am
December 2024
Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa.
Background: The diagnosis of syndesmotic instability is challenging, and chronically unstable injuries can potentially lead to ankle arthritic degeneration. The objective of this cadaveric study was to utilize a 3-dimensional (3D) weight-bearing computed tomography (WBCT) distance mapping algorithm for the detection of subtle syndesmotic instability, induced by complete syndesmotic ligament sectioning and stressed by isolated axial load. We hypothesized that this algorithm would accurately detect subtle syndesmotic instability.
View Article and Find Full Text PDFThe most responsive foot position for non-invasive detection of isolated unstable syndesmotic injuries - a 3D analysis.
J Orthop Surg Res
November 2024
Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Leipzig, Germany.
Background: The aim of this study was to identify the most responsive foot position for detection of isolated unstable syndesmotic injury.
Methods: Fourteen paired human cadaveric lower legs were positioned in a pressure-controlled radiolucent frame and loaded under 700 N. Computed tomography scans were performed in neutral position, 15° internal / external rotation, and 20° dorsal / plantar flexion of the foot before and after cutting all syndesmotic ligaments.
Ankle syndesmotic ligaments avulsion fractures: incidence in adult population.
J Orthop Surg Res
October 2024
Department of Orthopaedics, Qidong Hospital of Traditional Chinese Medicine, Nantong, Jiangsu, 226200, China.
Article Synopsis
- Distal tibiofibular syndesmosis injuries commonly accompany ankle fractures in adults, often leading to specific avulsions named Tillaux, Wagstaffe, and Volkmann, with one being undefined.
- A study analyzed imaging data from 1,770 ankle fracture patients to assess the incidence of these avulsion fractures over a 12-year period.
- Results showed a total avulsion incidence of 26.3%, with the highest frequency being Volkmann fractures at 19.9%, followed by Tillaux (5.3%) and Wagstaffe (3.3%), while fibular avulsion of the PITFL was reported for the first time at 0.5%.
Outcome of flexible fixation for acute isolated syndesmotic injuries.
BMC Musculoskelet Disord
October 2024
Department of Orthopedics and Traumatology, Sohag Faculty of medicine, Sohag University, Sohag, Egypt.
Article Synopsis
- - A study evaluated the effectiveness of a suture-button device for treating 32 patients with isolated syndesmotic injuries, aiming to improve ankle function compared to traditional screw fixation methods.
- - Results showed significant reductions in pain and improvements in overall ankle function, as measured by the Visual Analogue Scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores, with outcomes similar to uninjured ankles after 2 years.
- - The suture-button system allowed for early weight-bearing and quick return to daily activities without complications, demonstrating good stability and patient satisfaction post-surgery.
Syndesmotic and Deltoid Injuries: Companions or Coincidences.
Foot Ankle Int
November 2024
Department of Radiology, University Hospital, LMU Munich, Munich, Germany.
Article Synopsis
- The study investigates the relationship between syndesmotic injuries and deltoid ligament (DL) injuries, aiming to evaluate their frequency and severity in patients undergoing surgery for unstable syndesmotic injuries.
- MRI assessments were performed on 37 patients to classify the severity of injuries, revealing an average severity of 2.6 for the syndesmotic complex and 1.6 for the DL injuries.
- Results indicated that unstable syndesmotic injuries can occur with or without DL injuries, highlighting significant variability in injury severity between these two structures.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!