Purpose: To assess the success rate and complications of the surgical interventions used to manage chronic syndesmosis injuries.
Methods: Multiple online databases were queried to identify studies reporting operative intervention for chronic syndesmosis injuries.
Results: Modalities of operative fixation include suture-button fixation, arthroscopy and debridement, as well as arthrodesis. The use of operative treatment is effective; however, more direct comparison studies are necessary to evaluate the efficacy of each treatment.
Conclusion: Various operative procedures have been used for the management of chronic syndesmotic injuries but further prospective studies are necessary to determine the type of treatment that should be indicated.
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http://dx.doi.org/10.1016/j.jor.2020.04.011 | DOI Listing |
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 PDFJ Orthop
January 2025
Department of Human Locomotion, Chemnitz University of Technology, 09126, Chemnitz, Germany.
Purpose: Supination trauma is a common sports injury, and often leads to chronic ankle instability. This study analyses whether indications of healing can be detected 2 weeks after supination trauma.
Methods: This prospective, monocentric study at a German Medical Center examined patients with acute supination trauma.
Cureus
October 2024
Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR.
J ISAKOS
November 2024
Department of Orthopaedics, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, OVL 9000, Belgium. Electronic address:
Importance: Ligamentous ankle lesions are among the most frequent sports injuries. One of the key intrinsic stabilizers of the ankle joint is the incisura fibularis (IF), as it interlocks the distal tibia and fibula. Despite an abundant amount of studies related to ligamentous ankle injuries, scant attention has been given to the specific role of the IF morphology.
View Article and Find Full Text PDFFoot Ankle Int
September 2024
Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Background: Subtle chronic or latent instabilities are difficult to delineate with currently available diagnostic modalities and do not allow assessment of ligamentous functionality. The noninvasive bilateral external torque computed tomography (CT) was able to reliably detect syndesmotic lesions in a cadaveric study. The aim of the study was to test the external torque device in young, healthy subjects at 3 different torque levels and to demonstrate comparability with the contralateral side.
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