Overtightening of the ankle syndesmosis: is it really possible?

The Journal of Bone and Joint Surgery. American Volume
P TornettaC Lee

Abstract

Many surgeons and orthopaedic references recommend that fixation of a disrupted distal tibiofibular syndesmosis be performed with the ankle in dorsiflexion to avoid overtightening and subsequent restriction of ankle dorsiflexion. This recommendation is based in large part on one cadaveric study without clinical correlation. The purpose of the present study was to examine whether overtightening of the syndesmosis limits maximal ankle dorsiflexion. Nineteen cadaveric ankles were used for the study. Each ankle was tested for the initial range of motion after release of the Achilles tendon proximal to the ankle joint. All capsular and ligamentous structures remained intact. Kirschner wires were placed in the tibia and talus. The angle between the wires with the ankle maximally dorsiflexed was measured before and after syndesmotic compression. Syndesmotic compression was achieved with a 4.5-mm lag screw with the ankle in plantar flexion. There was no difference between the values for maximal dorsiflexion before and after syndesmotic compression. Syndesmotic compression in and of itself does not diminish ankle dorsiflexion in a cadaveric model. Maximal dorsiflexion of the ankle during syndesmotic fixation is not required in order to ...Continue Reading

References

Aug 1, 1989·Foot & Ankle·R L NeedlemanJ B Stiehl
Jan 1, 1985·Archives of Orthopaedic and Trauma Surgery·C Olerud
May 1, 1997·The Journal of the American Academy of Orthopaedic Surgeons·T K Wuest

❮ Previous
Next ❯

Citations

Jan 17, 2002·The Journal of Bone and Joint Surgery. American Volume·W David HovisRobert W Bucholz
Nov 14, 2002·The Journal of Bone and Joint Surgery. American Volume·Donald A Wiss
Jul 19, 2003·Journal of the American Podiatric Medical Association·Ty EndeanH Rod Martin
Dec 7, 2006·Pain Practice : the Official Journal of World Institute of Pain·Phillip S SizerOmer Matthijs
Jun 6, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Charalampos Zalavras, David Thordarson
Aug 30, 2008·Foot & Ankle International·James M CottomGregory C Berlet
Jul 8, 2011·Foot & Ankle International·Kyle Stuart, Vinod K Panchbhavi
Jul 10, 2012·Journal of Orthopaedic Trauma·Stéfanie GrenierAllan Liew
May 3, 2013·Foot & Ankle International·Andrew R HsuSimon Lee
Aug 21, 2013·Current Reviews in Musculoskeletal Medicine·Kenneth J Hunt
Nov 13, 2015·Orthopedics·Nicole van VlijmenRuurd L Jaarsma
Oct 14, 2016·Foot & Ankle International·Marie-Lyne NaultStéphane Leduc
Oct 14, 2016·Foot & Ankle International·Jason M SchonThomas O Clanton
Oct 31, 2017·The Open Orthopaedics Journal·Chi Pan Yuen, Tun Hing Lui
Feb 23, 2020·Journal of Orthopaedic Surgery and Research·Lu BaiPeng Chen
Jan 29, 2005·Journal of Orthopaedic Trauma·Brad Weening, Mohit Bhandari
Mar 16, 2005·Foot & Ankle International·Timothy MarqueenJames Carr
Feb 16, 2008·Foot & Ankle International·Kevin ForsytheAvinash G Patwardhan
Oct 3, 2009·Clinical Orthopaedics and Related Research·Anna N MillerDean G Lorich
Feb 6, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C Niek van DijkVincenzo Denaro
Dec 7, 2016·Foot & Ankle International·Jason M SchonThomas O Clanton
Jun 6, 2015·Foot & Ankle International·B Collier WatsonChristopher F Hyer
Oct 14, 2017·Foot & Ankle International·Pieter D'HoogheKenneth J Hunt
Oct 27, 2017·EFORT Open Reviews·Jorge de-Las-Heras RomeroMarina Hernandez Torralba
Dec 20, 2017·Foot & Ankle International·Andrzej BoszczykStefan Rammelt
Oct 1, 2015·JBJS Case Connector·Dirk S Gesink, John G Anderson
May 9, 2018·Journal of Orthopaedic Trauma·Christopher T CosgroveMichael J Gardner
Mar 20, 2020·Foot & Ankle Specialist·Nicholas G VanceVinod K Panchbhavi
Jan 14, 2010·Foot & Ankle International·Robert KlitzmanAnand Vora
May 15, 2009·Foot & Ankle International·Anna N MillerDean G Lorich
Apr 12, 2013·Foot & Ankle International·Richard L Needleman
Oct 12, 2012·Foot & Ankle International·Husam H DarwishJames K DeOrio
Oct 26, 2012·Strategies in Trauma and Limb Reconstruction·Annick den DaasMichel P J van den Bekerom
Feb 19, 2015·Foot & Ankle International·Kyle S PetersonGregory C Berlet
Jul 2, 2016·The Bone & Joint Journal·M S BallalJ D F Calder
Mar 12, 2003·Foot & Ankle International·Brian ThornesMoira O'Brien
Aug 2, 2008·Journal of Orthopaedic Trauma·Markku T NousiainenEmil H Schemitsch
Apr 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Nelson S SalduaJoseph R Carney
May 24, 2007·The American Journal of Sports Medicine·Glenn N WilliamsAnnunziato Amendola
Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·R DattaniT P Selvan
Aug 15, 2013·Current Reviews in Musculoskeletal Medicine·Angelo Del BuonoNicola Maffulli

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Tun Hing LuiHung Tsan Chow
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Xiang Liu, Guangrong Yu
Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Xiao-dong BaiQi-bin Ye
Journal of Athletic Training
S A Norkus, R T Floyd
Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Zhen-Hai HouZhi-Ming Ni
© 2021 Meta ULC. All rights reserved