Article
Orthopedics
Go Sato, Jirawat Saengsin, Rohan Bhimani, Noortje Hagemeijer, Bart Lubberts, Elaheh Ziaei Ziabari, Christopher DiGiovanni, Daniel Guss
Summary: The study found that lateral ankle ligament injuries do not directly affect the stability of the syndesmosis. However, when combined with injuries to the interosseous ligament (IOL), even partial injuries can cause syndesmotic laxity. This has important clinical implications for accurate diagnosis and determining the treatment approach for concurrent syndesmotic and lateral ligament injuries.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Medicine, General & Internal
Jaeyoung Kim, Minsoo Kwon, Jonathan Day, Jesse Seilern und Aspang, Jaehoon Shim, Jaeho Cho
Summary: This study evaluated the radiographic and clinical outcomes after removal of SB for syndesmosis fixation. Results showed that removal of SB led to improved clinical symptoms without negatively impacting the quality of syndesmosis reduction.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Ingrid Kvello Stake, Anna R. Bryniarski, Alex W. Brady, Jon W. Miles, Grant J. Dornan, Jan Erik Madsen, C. Thomas Haytmanek, Elisabeth Ellingsen Husebye, Thomas O. Clanton
Summary: The purpose of this study was to determine the optimal treatment for posterior malleolar fractures (PMFs) by comparing different combinations of transsyndesmotic suture buttons, posterior malleolar screws, and anterior inferior tibiofibular ligament (AITFL) augmentation using suture tape. The results showed that posterior malleolar screws with AITFL augmentation provided the best stability for external rotation, while all repairs involving posterior malleolar screws stabilized the fibula and ankle joint for internal rotation. There were no significant differences in efficacy between 25% and 50% PMFs.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Joao Carlos Rodrigues, Adham do Amaral e Castro, Laercio Alberto Rosemberg, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos
Summary: This study aimed to compare the diagnostic accuracy of conventional ankle CT scans in external rotation and dorsiflexion with that in a neutral position for diagnosing syndesmotic instability. The results showed that CT scans in external rotation and dorsiflexion had higher diagnostic accuracy for diagnosing syndesmotic instability.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Matthias Peiffer, Arne Burssens, Sophie De Mits, Thibault Heintz, Michiel Van Waeyenberge, Kris Buedts, Jan Victor, Emmanuel Audenaert
Summary: This study aimed to create a statistical shape model of the normal distal tibiofibular joint (DTFJ) with ligamentous morphometry, investigate the effect of weight-bearing on DTFJ alignment, and detect differences in syndesmotic ligament length between patients with syndesmotic ankle injuries and healthy controls. The results showed an increased tibiofibular diastasis in healthy ankles after weight-bearing and a significant difference in anterior syndesmotic ligament length between ankles with syndesmotic lesions and healthy controls.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2022)
Article
Orthopedics
Gregory R. Sprowls, Garrett T. Maxwell, Hilda H. Kriel, Robert A. Probe
Summary: The video showcases a unique approach to managing a purely ligamentous syndesmotic injury in a 16-year-old football player, achieving syndesmotic reduction with a large clamp and fixation using dual suture button devices in combination with a buttress plate. A small medial incision was used to protect the saphenous neurovascular bundle during button placement.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Orthopedics
S. F. Baumbach, A. Synek, F. T. Spindler, L. Bauer, W. Boecker, H. Polzer
Summary: This study analyzed the shape of the distal fibula and defined safe zones for drilling tunnel orientations in syndesmotic stabilization. Applying these safe zones can help avoid misplacement of the fixation device.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Robert Hennings, Firas Souleiman, Martin Heilemann, Mareike Hennings, Alexis Klengel, Georg Osterhoff, Pierre Hepp, Annette B. Ahrberg
Summary: Comparing syndesmotic screw fixation with suture button system fixation using 3D computed imaging techniques showed no significant differences in immediate post-operative alignment. Special attention should be given to syndesmotic malreduction in the sagittal orientation of the fibula in relation to the tibia during radiological control and intra-operatively.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Multidisciplinary Sciences
Kevin Dibbern, Victoria Vivtcharenko, Nacime Salomao Barbachan Mansur, Matthieu Lalevee, Kepler Alencar Mendes de Carvalho, Francois Lintz, Alexej Barg, Andrew J. Goldberg, Cesar de Cesar Netto
Summary: This case-control study used weight bearing CT (WBCT) distance (DM) and coverage maps (CM) as 3D radiological markers to investigate the early effects of PCFD on the ankle and syndesmotic joints. The results showed significant reductions in syndesmotic incisura distances and decreased articular coverage in PCFD patients compared to controls, supporting DM and CM as early 3D PCFD radiological markers.
SCIENTIFIC REPORTS
(2023)
Article
Critical Care Medicine
Tzu-Cheng Yang, Yun-Hsuan Tzeng, Chien-Shun Wang, Chun-Cheng Lin, Ming-Chau Chang, Chao-Ching Chiang
Summary: This retrospective study reported outcomes of fixation of bi-malleolar or trimalleolar fractures combined with syndesmotic injury, and found that removing the syndesmotic screw at 3 months postoperatively is more beneficial for reducing the risk of syndesmotic instability recurrence in trimalleolar fractures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Medicine, General & Internal
Jan Niklas Altmeppen, Christian Colcuc, Christian Balser, Yves Gramlich, Alexander Klug, Oliver Neun, Sebastian Manegold, Reinhard Hoffmann, Sebastian Fischer
Summary: The study found that both SB fixation and SF fixation achieve good clinical outcomes in both the short-term and long-term. Athletes experience a faster recovery with SB fixation.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Choon Chiet Hong, William D. Harrison, Tim Clough, James Calder
Summary: This study reported a series of cases of periprosthetic fibula fractures adjacent to the lateral suture button after initial ankle syndesmosis stabilization using the knotless TightRope. Nonoperative management of these fractures may lead to delayed union, suggesting the need for early surgical intervention in elite athletes. Care is also needed in the placement of the fibula hole to avoid stress reactions or stress fractures.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2023)
Article
Critical Care Medicine
Keith G. Whitlock, Micaela LaRose, Helena Barber, Amanda Fletcher, Daniel Cunningham, Luke Menken, Richard S. Yoon, Mark J. Gage
Summary: This study compared different treatment methods for isolated unstable distal fibula fractures, finding that direct deltoid ligament repair yields similar functional scores and fewer reoperations compared to trans-syndesmotic fixation at midterm follow up. The most common reason for reoperation was the removal of hardware.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Kathrin Rellensmann, Cyrus Behzadi, John Usseglio, James Turner Vosseller, Wolfgang Boecker, Hans Polzer, Sebastian Felix Baumbach
Summary: The study investigated the frequency and severity of intra-articular pathologies detected during arthroscopy in patients with acute isolated, unstable syndesmotic injuries. It found that up to 50% of patients had intra-articular pathologies, with 19% requiring additional treatment. Arthroscopy was shown to be effective in identifying pathologies that needed further intervention, and pre-operative MRI had high sensitivity and specificity in diagnosing chondral lesions.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Multidisciplinary Sciences
Hiroyuki Seki, Naomichi Ogihara, Tetsuro Kokubo, Takeo Nagura
Summary: The study quantified and visualized degenerative patterns of distal tibia and fibula in ankle osteoarthritis using CT images of 33 patients. Surface depression and elevation were observed in OA patients, correlating with similar degenerative changes on the opposite side of the ankle joint. These findings provide valuable insight into the development and treatment of ankle OA.
SCIENTIFIC REPORTS
(2021)