Fractures of the fibula proximal to the distal tibiofibular syndesmosis

Pankovich, Arsen M.

Affiliations

¹Division of Orthopaedic Surgery, Cook County Hospital and Hektoen Institute for Medical Research, Chicago

Abstract

Study of thirty-six cases of fracture of the fibula at levels proximal to the distal tibiofibular syndesmosis established that there are three types, distinguished by the direction of the fracture line, which are produced by different mechanisms: supination-external rotation, pronation-abduction, and pronation-external rotation. Advanced lesions that were seen were severe injuries of the ankle which included rupture of the deltoid ligament or fracture of the medial malleolus and complete diastasis of the distal tibiofibular syndesmosis in addition to the fracture of the fibula. Surgical treatment is necessary in most advanced lesions.

Links

URL: http://jbjs.org/article.aspx?articleid=17395

PubMed: 417086

WoS: A1978ES68500015

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Cited By (11)

Year	Entry
1997	Slawski DP, West OC. Syndesmotic ankle injuries in rodeo bull riders. Am J Orthop (Belle Meade, NJ). November 1997;26(11):794-797.
1991	Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med. 1991;19(3):294-298.
1994	Ogilvie-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy. October 1994;10(5):561-568.
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.
1992	Amendola A. Controversies in diagnosis and management of syndesmosis injuries of the ankle. Foot Ankle. January 1992;13(1):44-50.
1997	McBryde A, Chiasson B, Wilhelm A, Donovan F, Ray T, Bacilla P. Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int. May 1997;18(5):262-266.
1989	Boden SD, Labropoulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw: a cadaver study. J Bone Joint Surg. December 1989;71A(10):1548-1555.
1995	Brosky T, Nyland j, Nitz A, Caborn DNM. The ankle ligaments: consideration of syndesmotic injury and implications for rehabilitation. J Orthop Sports Phys Ther. April 1995;21(4):197-205.
1991	Seitz WH Jr, Bachner EJ, Abram LJ, Postak P, Polando G, Brooks DB, Greenwald AS. Repair of the tibiofibular syndesmosis with a flexible implant. J Orthop Trauma. March 1991;5(1):78-82.
1985	Sclafani SJA. Ligamentous injury of the lower tibiofibular syndesmosis: radiographic evidence. Radiology. July 1985;156(1):21-27.
2006	Ebraheim NA, Taser F, Shafiq Q, Yeasting RA. Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments. Surg Radiol Anat. 2006;28(2):142-149.