Management of chronic disruption of the distal tibiofibular syndesmosis

Miyamoto, Wataru; Takao, Masato

Affiliations

¹Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo 173-8605, Japan

Abstract and keywords

Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture. In such injury, not only inadequately treated or misdiagnosed cases, but also correctly diagnosed cases can possibly result in a chronic pattern which is more troublesome to treat than an acute pattern. This paper reviews anatomical and biomechanical characteristics of the distal tibiofibular joint, the mechanism of chronic disruption of the distal tibiofibular syndesmosis, radiological and arthroscopic diagnosis, and surgical treatment.

Keywords: Ankle; Chronic injury; Distal tibiofibular joint; Distal tibiofibular syndesmosis; Surgical treatment

Links

DOI: 10.5312/wjo.v2.i1.1

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Cited By (1)

Year	Entry
2013	Sman AD, Hiller CE, Refshauge KM. Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. Br J Sports Med. July 2013;47(10):620-628.