Schepers T 2012 Acute distal tibiofibular syndesmosis injury: a systematic review of suture button versus syndesmotic screw repair. Int Orthop 366:1199–1206 CrossRef PubMed PubMedCentral 66. Newer devices used metallic endobuttons. In the clinical part of the study by Seitz et al., 11 of the 12 Weber-C injuries regained pre-injury levels at an average follow-up of 3.2 years, there were no device failures, and all were routinely removed after eight to 12 months. In an estimated 1-11% of all ankle sprains, injury of the distal tibiofibular syndesmosis occurs which is known as a high ankle sprain. However, depending on the type and level of sporting. Injuries to the syndesmosis often occur in conjunction with acute bony injuries to the ankle joint, however subtle ligamentous injuries to the syndesmotic complex can also occur in the setting of low energy trauma to the ankle, including athletic activity. A syndesmotic ankle sprain is an injury to one or more of the ligaments comprising the distal tibiofibular syndesmosis; it is often referred to as a "high ankle sprain." Compared with the more common lateral ankle sprain, the high ankle sprain causes pain more proximally, just above the ankle joint.
Syndesmosis injury or high ankle sprain has been identified by many physicians as the most difficult injury to treat in the athlete 1,2. It is well known as a greater source of impairment in high-level as well as recreational athletes than the more typical lateral low ankle sprain 3, 4, 5 and 6. Occult syndesmosis injuries are often subtle and difficult to identify with conventional radiographic studies in the absence of frank diastasis. Axial views of the syndesmosis from computed tomography CT can improve detection of syndesmotic widening by quantitatively comparing tibial fibular distance to the contralateral limb. The diagnosis of syndesmotic injury is based on the mechanism of injury, manifesting symptomology, a thorough physical examination, and radiographic findings. Impor-tance must be placed on each one of those facets to make the correct diagnosis. Acute and Chronic Injuries to the Syndesmosis 3. 16.08.2013 · The tibiofibular syndesmosis is a fibrous joint joining the fibula to the tibia and stabilized by four lateral ligaments: the anterior inferior tibiofibular ligament AITFL, the interosseous ligament IOL, the transverse ligament TL, and the posterior inferior tibiofibular ligament PITFL Fig. 1. Syndesmotic ankle sprains commonly occur to athletes participating in American football and downhill skiing. Football injuries are usually a result of forced external rotation of the foot while the athlete is prone, as in at the bottom of the pile. The injuries can also result from a blow to the lateral knee while the foot is planted and dorsiflexed, resulting in an eversion or external rotation moment at the talocrural joint.
Syndesmosis injuries at the ankle are a common injury that may be missed easily as a result of the fact that normal roentgenograms fail to reveal the magnitude of soft-tissue injury. Magnetic. Abstract. A stable and precise articulation of the distal tibiofibular syndesmosis is essential for normal motion of the ankle joint. Injury to the syndesmosis occurs through rupture or bony avulsion of the syndesmotic ligament complex. Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to.
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