Acute syndesmosis injuries

Doyle, Matthew D.; Ligas, Chandler J.; Vora, Nishit S.

Affiliations

¹Silicon Valley Reconstructive Foot and Ankle Fellowship, Palo Alto Medical Foundation, 701 East El Camino Real, Mountain View, CA 94040, USA

²Saint Mary’s Medical Center, 450 Stanyan Street, San Francisco, CA 94117, USA

Abstract and keywords

Ankle syndesmosis injuries include isolated ligamentous rupture, as well as fractures with ligamentous injury. These injuries can significantly affect athletes in all sports, and lead to prolonged recovery and return to sport. Adequate evaluation and diagnosis of these injuries are imperative for treatment and return to play. Many can be treated nonoperatively, but operative treatment is indicated in fractures with syndesmosis disruption and ligamentous injuries with instability. Anatomic reduction and fixation of these injuries will allow functional rehab and return to sport.

Keywords: Athlete; High ankle sprain; Syndesmosis

Links

DOI: 10.1016/j.cpm.2022.07.003

PubMed: 36368846

WoS: 000892587900004

History

Revised: 2023-01-1

Online: 2022-10-1

Cited Works (22)

Year	Entry
1998	Court-Brown CM, McBirnie J, Wilson G. Adult ankle fractures: an increasing problem? Acta Orthop Scand. February 1998;69(1):43-47.
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.
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.
1998	Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. October 1998;19(10):653-660.
1984	Edwards GS Jr, DeLee JC. Ankle diastasis without fracture. Foot Ankle. May–June 1984;4(6):305-312.
1995	Xenos JS, Hopkinson WJ, Mulligan ME, Olson EJ, Popovic NA. The tibiofibular syndesmosis: evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J Bone Joint Surg. June 1995;77A(6):847-856.
2013	Yang Y, Zhou J, Li B, Zhao H, Yu T, Yu G. Exploração operatória e redução de sindesmose em lesão de tornozelo de Weber tipo C = Operative exploration and reduction of syndesmosis in Weber type C ankle injury. Acta Ortop Bras. 2013;21(2):103-108.
2007	Williams GN, Jones MH, Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med. July 2007;35(7):1197-1207.
1994	Ogilvie-Harris DJ, Reed SC, Hedman TP. Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. Arthroscopy. October 1994;10(5):558-560.
2011	DeGroot H, Al-Omari AA, El Ghazaly SA. Outcomes of suture button repair of the distal tibiofibular syndesmosis. Foot Ankle Int. March 2011;32(2):250-256.
2015	Lievers WB, Adamic PF. Incidence and severity of foot and ankle injuries in men’s collegiate American football. Orthop J Sports Med. 2015;3(5):2325967115581593.
1998	Teitz CC, Harrington RM. A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle. Foot Ankle Int. July 1998;19(7):489-492.
2007	Taylor DC, Tenuta JJ, Uhorchak JM, Arciero RA. Aggressive surgical treatment and early return to sports in athletes with grade III syndesmosis sprains. Am J Sports Med. 2007;35(11):1833-1838.
2001	Harper MC. Delayed reduction and stabilization of the tibiofibular syndesmosis. Foot Ankle Int. January 2001;22(1):15-18.
2012	Naqvi GA, Shafqat A, Awan N. Tightrope fixation of ankle syndesmosis injuries: clinical outcome, complications and technique modification. Injury. June 2012;43(6):838-842.
1976	Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg. April 1976;58A(3):356-357.
2011	Waterman BR, Philip J. Belmont J, Cameron KL, Svoboda SJ, Alitz CJ, Owens BD. Risk factors for syndesmotic and medial ankle sprain: role of sex, sport, and level of competition. Am J Sports Med. 2011;39(5):992-998.
2002	Beumer A, Swierstra BA, Mulder PGH. Clinical diagnosis of syndesmotic ankle instability: evaluation of stress tests behind the curtains. Acta Orthop Scand. December 2002;73(6):667-669.
1998	Alonso A, Khoury L, Adams R. Clinical tests for ankle syndesmosis injury: reliability and prediction of return to function. J Orthop Sports Phys Ther. April 1998;27(4):276-284.
2004	Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H. MRI findings associated with distal tibiofibular syndesmosis injury. Am J Roentgen. January 2004;182(1):131-136.
2013	Hunt KJ, George E, Harris AHS, Dragoo JL. Epidemiology of syndesmosis injuries in intercollegiate football: incidence and risk factors from National Collegiate Athletic Association injury surveillance system data from 2004-2005 to 2008-2009. Clin J Sport Med. 2013;23(4):278-282.
2012	Naqvi GA, Cunningham P, Lynch B, Galvin R, Awan N. Fixation of ankle syndesmotic injuries: comparison of TightRope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction. Am J Sports Med. December 2012;40(12):2828-2835.