1. Management of acute injuries of the tibiofibular syndesmosis.
- Author
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Fort NM, Aiyer AA, Kaplan JR, Smyth NA, and Kadakia AR
- Subjects
- Acute Disease, Ankle Joint physiopathology, Bone Plates, Bone Screws, Female, Fluoroscopy methods, Humans, Injury Severity Score, Intraoperative Care methods, Magnetic Resonance Imaging methods, Male, Recovery of Function physiology, Risk Assessment, Tomography, X-Ray Computed methods, Treatment Outcome, Ankle Injuries diagnostic imaging, Ankle Injuries surgery, Ankle Joint diagnostic imaging, Fracture Fixation, Internal methods, Fracture Healing physiology, Range of Motion, Articular physiology
- Abstract
The syndesmosis is important for ankle stability and load transmission and is commonly injured in association with ankle sprains and fractures. Syndesmotic disruption is associated with between 5 and 10% of ankle sprains and 11-20% of operative ankle fractures. Failure to recognize and appropriately treat syndesmotic disruption can portend poor functional outcomes for patients; therefore, early recognition and appropriate treatment are critical. Syndesmotic injuries are difficult to diagnose, and even when identified and treated, a slightly malreduced syndesmosis can lead to joint destruction and poor functional outcomes. This review will discuss the relevant anatomy, biomechanics, mechanism of injury, clinical evaluation, and treatment of acute injuries to the ankle syndesmosis.
- Published
- 2017
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