Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts.

Ankle Distal tibiofibular joint Fracture Injury Syndesmosis Trauma

Journal

World journal of orthopedics
ISSN: 2218-5836
Titre abrégé: World J Orthop
Pays: United States
ID NLM: 101576349

Informations de publication

Date de publication:
18 May 2021
Historique:
received: 31 10 2020
revised: 14 04 2021
accepted: 28 04 2021
entrez: 31 5 2021
pubmed: 1 6 2021
medline: 1 6 2021
Statut: epublish

Résumé

A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship, and it is essential for normal motion of the ankle joint. The disruption of this joint is frequently accompanied by rotational ankle fracture, such as pronation-external rotation, and rarely occurs without ankle fracture. The diagnosis is not simple, and ideal management of the various presentations of syndesmotic injury remains controversial to this day. Anatomical restoration and stabilization of the disrupted tibiofibular syndesmosis is essential to improve functional outcomes. In such an injury, including inadequately treated, misdiagnosed and correctly diagnosed cases, a chronic pattern characterized by persistent ankle pain, function disability and early osteoarthritis can result. This paper reviews anatomical and biomechanical characteristics of this syndesmosis, the mechanism of its acute injury associated to fractures, radiological and arthroscopic diagnosis and surgical treatment.

Identifiants

pubmed: 34055585
doi: 10.5312/wjo.v12.i5.270
pmc: PMC8152437
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

270-291

Informations de copyright

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: The authors declare no conflict of interests for this article.

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Auteurs

Francesco Pogliacomi (F)

Department of Medicine and Surgery, Orthopaedic Clinic, Parma 43126, Italy. francesco.pogliacomi@unipr.it.

Massimo De Filippo (M)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Daniele Casalini (D)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Alberto Longhi (A)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Fabrizio Tacci (F)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Rocco Perotta (R)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Francesco Pagnini (F)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Silvio Tocco (S)

Centro Riabilitativo della Mano e Arto Superiore, Parma 43121, Italy.

Francesco Ceccarelli (F)

Department of Medicine and Surgery, University of Parma, Parma 43126, Italy.

Classifications MeSH