The Effect of Stabilization Procedures on Sports Discipline and Performance Level in Non-Elite Athletes after Acute Syndesmotic Injury: A Prospective Randomized Trial.
ankle syndesmosis
knotless suture button device
return to sports
syndesmotic screw
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
08 Aug 2022
08 Aug 2022
Historique:
received:
04
07
2022
revised:
02
08
2022
accepted:
05
08
2022
entrez:
12
8
2022
pubmed:
13
8
2022
medline:
13
8
2022
Statut:
epublish
Résumé
Suture button devices for tibiofibular syndesmosis injuries provide semirigid dynamic stabilization. The effect of stabilization procedures on sports discipline and performance level in non-elite athletes after acute syndesmotic injury has not been clarified in sports medicine research to date. A total of 47 of 56 eligible patients were analyzed and completed the 1-year follow-up. The average age was 35.5 years (range, 18-60 years). The screw fixation and knotless suture button groups comprised 26 and 21 patients, respectively. Nine patients were lost to follow-up. Patients underwent clinical and radiological evaluations preoperatively and twice during the 1-year postoperative follow-up. Function was measured using the FADI sports scale, the FAAM sports module, and a visual analogue scale for pain and function in sports. Questionnaires were completed to assess preoperative and postoperative sports levels and to evaluate the sports discipline. All scores increased during the follow-up, but no significant differences were found in the FADI score, the FAAM sports module score and or the VAS score for pain and function during sport ( No statistically significant differences could be demonstrated between the two stabilization methods in terms of return to previous sport level and return to the original sport discipline, so both procedures can be regarded as equivalent at present.
Sections du résumé
BACKGROUND
BACKGROUND
Suture button devices for tibiofibular syndesmosis injuries provide semirigid dynamic stabilization. The effect of stabilization procedures on sports discipline and performance level in non-elite athletes after acute syndesmotic injury has not been clarified in sports medicine research to date.
METHODS
METHODS
A total of 47 of 56 eligible patients were analyzed and completed the 1-year follow-up. The average age was 35.5 years (range, 18-60 years). The screw fixation and knotless suture button groups comprised 26 and 21 patients, respectively. Nine patients were lost to follow-up. Patients underwent clinical and radiological evaluations preoperatively and twice during the 1-year postoperative follow-up. Function was measured using the FADI sports scale, the FAAM sports module, and a visual analogue scale for pain and function in sports. Questionnaires were completed to assess preoperative and postoperative sports levels and to evaluate the sports discipline.
RESULTS
RESULTS
All scores increased during the follow-up, but no significant differences were found in the FADI score, the FAAM sports module score and or the VAS score for pain and function during sport (
CONCLUSION
CONCLUSIONS
No statistically significant differences could be demonstrated between the two stabilization methods in terms of return to previous sport level and return to the original sport discipline, so both procedures can be regarded as equivalent at present.
Identifiants
pubmed: 35956224
pii: jcm11154609
doi: 10.3390/jcm11154609
pmc: PMC9369643
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Am J Sports Med. 2004 Dec;32(8):1941-5
pubmed: 15572325
Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):3156-3164
pubmed: 29224059
Foot Ankle Int. 1998 Oct;19(10):653-60
pubmed: 9801078
Am J Sports Med. 2007 Nov;35(11):1833-8
pubmed: 17644659
Foot Ankle Int. 2005 Nov;26(11):968-83
pubmed: 16309613
Foot (Edinb). 2021 Dec;49:101776
pubmed: 33992455
J Orthop Trauma. 2014 Apr;28(4):205-9
pubmed: 23899768
Acta Orthop Scand. 1998 Feb;69(1):43-7
pubmed: 9524517
Foot Ankle Int. 2014 Feb;35(2):141-7
pubmed: 24165573
Foot Ankle Int. 1997 Nov;18(11):693-8
pubmed: 9391813
Clin J Sport Med. 2013 Jul;23(4):278-82
pubmed: 23339895
Acta Orthop. 2006 Jun;77(3):531-40
pubmed: 16819696
Am J Sports Med. 1976 Jan-Feb;4(1):1-6
pubmed: 937622
Foot Ankle Spec. 2017 Jun;10(3):252-257
pubmed: 28027655
J Orthop Trauma. 2012 Jul;26(7):439-43
pubmed: 22357084
Am J Sports Med. 2020 Mar;48(4):1000-1013
pubmed: 31188642
J Bone Joint Surg Am. 2018 Jan 3;100(1):2-12
pubmed: 29298255
Foot Ankle Int. 2011 Dec;32(12):1103-9
pubmed: 22381193
Br J Sports Med. 2020 Oct;54(19):1168-1173
pubmed: 31473593
Arthroscopy. 2016 Apr;32(4):634-42
pubmed: 26725452
J Foot Ankle Surg. 2019 Mar;58(2):320-327
pubmed: 30612866
Clin Orthop Relat Res. 2005 Feb;(431):207-12
pubmed: 15685077
Am J Sports Med. 1991 May-Jun;19(3):294-8
pubmed: 1907807
Am J Sports Med. 2012 Dec;40(12):2828-35
pubmed: 23051785
Z Orthop Unfall. 2011 Oct;149(5):e45-67
pubmed: 21984430
J Orthop Trauma. 2015 May;29(5):216-23
pubmed: 25260059