Management of acute injuries of the tibiofibular syndesmosis

Nicholas M. Fort; Amiethab A. Aiyer; Jonathan R. Kaplan; Niall A. Smyth; Anish R. Kadakia

doi:10.1007/s00590-017-1956-2

Management of acute injuries of the tibiofibular syndesmosis

Nicholas M. Fort, Amiethab A. Aiyer, Jonathan R. Kaplan, Niall A. Smyth, Anish R. Kadakia^*

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

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.

Original language	English (US)
Pages (from-to)	449-459
Number of pages	11
Journal	European Journal of Orthopaedic Surgery and Traumatology
Volume	27
Issue number	4
DOIs	https://doi.org/10.1007/s00590-017-1956-2
State	Published - May 1 2017

Keywords

Ankle fractures
Ligament injury
Syndesmotic injuries

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Management of acute injuries of the tibiofibular syndesmosis",

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.",

keywords = "Ankle fractures, Ligament injury, Syndesmotic injuries",

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AU - Fort, Nicholas M.

AU - Aiyer, Amiethab A.

AU - Kaplan, Jonathan R.

AU - Smyth, Niall A.

AU - Kadakia, Anish R.

PY - 2017/5/1

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N2 - 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.

AB - 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.

KW - Ankle fractures

KW - Ligament injury

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