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Computed tomography-based morphometric analysis of normal distal tibiofibular syndesmosis in the Indian population.
Foot Ankle Surg
December 2024
Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India. Electronic address:
Background: In suspected Ankle Instability, the parameters that can be defined in the X-ray have their limitation owing to their variability in positioning and rotation of the tibiofibular joint. This inaccuracy further increases due to variability in morphometric parameters of distal tibiofibular syndesmosis among different populations based on race and sex. This research aims to study morphometry of normal distal tibiofibular syndesmosis based on computed tomography imaging in the Indian population.
View Article and Find Full Text PDFThe role of computed tomography with external rotation and dorsiflexion in decision making for acute isolated non-displaced posterior malleolar fractures Bartoníček and Rammelt type II: a prospective study.
Eur J Orthop Surg Traumatol
October 2024
Universitäts Centrum Für Orthopädie Und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Dresden, Germany.
Article Synopsis
- The study aimed to understand how ankle injuries affect the ligaments and bones using special imaging tests called CT and MRI.
- 33 patients with ankle sprains were examined, and the researchers looked at different types of ligament injuries and measured the width between certain bones in the ankle.
- The results showed that specific tests can effectively identify problems in the ankle's stability, especially for certain types of fractures.
Suture button versus syndesmosis screw fixation in pronation-external rotation ankle fractures: A minimum 6-year follow-up of a randomised controlled trial.
Injury
October 2021
Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Kajaanintie 50, P.O. Box 21, FI 90029 OYS, Oulu, Finland. Electronic address:
Objective: Randomised controlled trials (RCT) with short-term follow-ups have shown that, in treatment of syndesmosis injuries, a suture button device (SB) resulted in better radiographic and functional outcome compared to syndesmosis screw fixation (SS). However, only one RCT has reported long-term results; thus, the syndesmosis malreduction rates for both implants might increase during longer follow-up. The primary objective of this RCT was to evaluate the maintenance of syndesmosis reduction with the SS compared to the SB fixation in patients during a minimum follow-up of 6-years.
View Article and Find Full Text PDFAssessment of malreduction standards for the syndesmosis in bilateral CT scans of uninjured ankles.
Bone Joint J
January 2021
Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Aims: Malreduction of the syndesmosis has been reported in up to 52% of patients after fixation of ankle fractures. Multiple radiological parameters are used to define malreduction; there has been limited investigation of the accuracy of these measurements in differentiating malreduction from inherent anatomical asymmetry. The purpose of this study was to identify the prevalence of positive malreduction standards within the syndesmosis of native, uninjured ankles.
View Article and Find Full Text PDFComputed Tomographic Validation of the Center-Center Radiographic Technique for Syndesmosis Fixation Axis Alignment in Normal Ankles.
Foot Ankle Int
September 2020
Department of Orthopaedics and Rehabilitation, Orthopaedics and Sports Medicine Institute, University of Florida College of Medicine, Gainesville, FL, USA.
Background: Ankle syndesmotic ligament injury is an important factor affecting clinical outcome after lower extremity injury with as little as 2 mm of syndesmotic displacement leading to worse clinical outcome. One important factor is the appropriate placement of clamps and fixation across the syndesmosis. When not ideally aligned, these can result in malalignment of the fibula in the incisura.
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