Management of syndesmotic injuries of the ankle

EFORT Open Reviews
Jorge de-Las-Heras RomeroMarina Hernandez Torralba

Abstract

Injuries to the tibioperoneal syndesmosis are more frequent than previously thought and their treatment is essential for the stability of the ankle mortise.Recognition of these lesions is essential to avoid long-term morbidity.Diagnosis often requires complete history, physical examination, weight-bearing radiographs and MRI.Treatment-oriented classification is mandatory.It is recommended that acute stable injuries are treated conservatively and unstable injuries surgically by syndesmotic screw fixation, suture-button dynamic fixation or direct repair of the anterior inferior tibiofibular ligament.Subacute injuries may require ligamentoplasty and chronic lesions are best treated by syndesmotic fusion.However, knowledge about syndesmotic injuries is still limited as recommendations for surgical treatment are only based on level IV and V evidence. Cite this article: EFORT Open Rev 2017;2:403-409. DOI: 10.1302/2058-5241.2.160084.

References

May 1, 1991·The American Journal of Sports Medicine·M J BoytimL Neumann
Nov 1, 1983·Injury·A KatznelsonJ Militiano
May 1, 1997·Foot & Ankle International·A McBrydeP Bacilla
Apr 29, 1998·The Journal of Orthopaedic and Sports Physical Therapy·A AlonsoR Adams
Aug 26, 1998·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·L FallatJ A Saracco
May 1, 1997·The Journal of the American Academy of Orthopaedic Surgeons·T K Wuest
Feb 24, 2001·The American Journal of Sports Medicine·E D NussbaumD E Kessler
Apr 24, 2001·The Journal of Bone and Joint Surgery. American Volume·P TornettaC Lee
Oct 16, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M TakaoK Oae
Jan 7, 2003·Foot and Ankle Clinics·Thomas O Clanton, Paulose Paul
Jan 7, 2003·Foot and Ankle Clinics·Susan Mosier-LaClairGregory Pomeroy
Mar 12, 2003·Foot & Ankle International·Brian ThornesMoira O'Brien
Dec 2, 2004·The American Journal of Sports Medicine·Rick W WrightMatthew J Matava
Mar 4, 2006·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Matthew HansenRoger Haut
Mar 28, 2006·Foot and Ankle Clinics·Fernando A Peña, J Chris Coetzee
Jun 17, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Cheng-Feng LinPaul Weinhold
Dec 1, 2006·Sports Medicine and Arthroscopy Review·Annunziato AmendolaDan Foster
Feb 16, 2008·Foot & Ankle International·Kevin ForsytheAvinash G Patwardhan
Aug 30, 2008·Foot & Ankle International·James M CottomGregory C Berlet
Jun 16, 2009·Injury·Michel P J van den BekeromC Niek van Dijk
Sep 11, 2009·Current Sports Medicine Reports·Cyrus M PressMark R Hutchinson
Apr 19, 2011·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Edward P Mulligan
Apr 27, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·George ParlamasJohn G Kennedy
Jun 19, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ryan B Rigby, James M Cottom
Aug 15, 2013·Current Reviews in Musculoskeletal Medicine·Angelo Del BuonoNicola Maffulli
Sep 2, 2014·Open Access Journal of Sports Medicine·David A PorterAngela M Rund
Dec 26, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C Niek van DijkVincenzo Denaro
Dec 29, 2016·Foot & Ankle Specialist·Kempland C WalleyJohn Y Kwon

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Citations

Feb 5, 2019·Foot & Ankle Specialist·Eva J LehtonenAshish Shah
Nov 23, 2019·Current Osteoporosis Reports·Marianne HollensteinerPeter Augat
Jul 23, 2021·Computer Methods and Programs in Biomedicine·Diego Alastuey-LópezMª Ángeles Pérez

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