An anatomic and radiographic investigation of the tibiofibular clear space

Harper, Marion C.

Affiliations

¹Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2550

Abstract

The tibiofibular clear space, a commonly used parameter in assessing the reduction of the syndesmosis in the management of ankle injuries, its anatomic boundaries, and resultant diagnostic ramifications were evaluated. This interval is seen to reflect the posterior aspect of the distal tibiofibular relationship and to vary not only with direct lateral displacement of the distal fibula but also potentially with rotational abnormalities of the fibula.

Links

PubMed: 8253438

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Cited By (11)

Year	Entry
2011	Scheyerer MJ, Helfet DL, Wirth S, Werner CML. Diagnostics in suspicion of ankle syndesmotic injury. Am J Orthop (Belle Meade, NJ). April 2011;40(4):192-197.
2003	Ebraheim NA, Elgafy H, Padanilam T. Syndesmotic disruption in low fibular fractures associated with deltoid ligament injury. Clin Orthop Relat Res. April 2003;409:260-267.
2004	Beumer A, van Hemert WLW, Niesing R, Entius CA, Ginai AZ, Mulder PGH, Swierstra BA. Radiographic measurement of the distal tibiofibular syndesmosis has limited use. Clin Orthop Relat Res. 2004;423:227-234.
2005	Nielson JH, Gardner MJ, Peterson MGE, Sallis JG, Potter HG, Helfet DL, Lorich DG. Radiographic measurements do not predict syndesmotic injury in ankle fractures: an MRI study. Clin Orthop Relat Res. July 2005;436:216-221.
2001	Smith KM, Kovacich-Smith KJ, Witt M. Evaluation and management of high ankle sprains. Clin Podiatr Med Surg. July 2001;18(3):443-456.
1995	Spaulding SJ. Monitoring recovery following syndesmosis sprain: a case report. Foot Ankle Int. October 1995;16(10):655-660.
1997	Ebraheim NA, Lu J, Yang H, Mekhail AO, Yeasting RA. Radiographic and CT evaluation of tibiofibular syndesmotic diastasis: a cadaver study. Foot Ankle Int. November 1997;18(11):693-698.
2006	Gardner MJ, Demetrakopoulos D, Briggs SM, Helfet DL, Lorich DG. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int. October 2006;27(10):788-792.
2009	Miller AN, Carroll EA, Parker RJ, Boraiah S, Helfet DL, Lorich DG. Direct visualization for syndesmotic stabilization of ankle fractures. Foot Ankle Int. May 2009;30(5):419-426.
1997	Wuest TK. Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg. May–June 1997;5(3):172-181.
2006	Taser F, Shafiq Q, Ebraheim NA. Three-dimensional volume rendering of tibiofibular joint space and quantitative analysis of change in volume due to tibiofibular syndesmosis diastases. Skel Radiol. 2006;35(12):935-941.