Injuries to the tibiofibular syndesmosis
Tóm tắt
The management of injury to the distal tibiofibular syndesmosis remains controversial in the treatment of ankle fractures. Operative fixation usually involves the insertion of a metallic diastasis screw. There are a variety of options for the position and characterisation of the screw, the type of cortical fixation, and whether the screw should be removed prior to weight-bearing. This paper reviews the relevant anatomy, the clinical and radiological diagnosis and the mechanism of trauma and alternative methods of treatment for injuries to the syndesmosis.
Từ khóa
Tài liệu tham khảo
Pettrone FA, Gail M, Pee D, Fitzpatrick T, Van Herpe LB. Quantitative criteria for prediction of the results after displaced fracture of the ankle. J Bone Joint Surg [Am] 1983;65-A:667–77.
Norkus SA, Floyd RT. The anatomy and mechanisms of syndesmotic ankle sprains. J Athl Train 2001;36:68–73.
Standring S. Gray’s Anatomy. 39th ed. Churchill Livingstone, 2004.
Close JR. Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg [Am] 1956;38-A:761–81.
Sarrafian SK. Anatomy of the Foot and Ankle: descriptive, topographic, functional. Second ed. Philadelphia: JB Lippincott, Williams and Wilkins 1993.
Magee DJ. Orthopedic physical assessment. Third ed. Philadelphia: WB Saunders, 1997.
Turco VJ, Gallant GG. Occult trauma and unusual injuries in the foot and ankle. In: Nicholas JA, Hershman EB, eds. The lower extremity and spine in sports medicine. Second ed. Vol. 1. St Louis: Mosby, 1995:475–93.
Ward DW. Syndesmotic ankle sprain in a recreational hockey player. J Manipulative Physiol Ther 1994;17:385–94.
Beumer A, Swierstra BA, Mulder PG. Clinical diagnosis of syndesmotic ankle instability: evaluation of stress tests behind the curtains. Acta Orthop Scand 2002;73:667–9.
Solomon L, Warwick DJ, Nayagam S. Apley’s system of orthopaedics and fractures. Eighth ed. London: Arnold, 2001.
Boden SD, Labropoulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw: a cadaver study. J Bone Joint Surg [Am] 1989;71-A:1548–55.
Parfenchuck TA, Frix JM, Bertrand SL, Corpe RS. Clinical use of a syndesmosis screw in stage IV pronation-external rotation ankle fractures. Orthop Rev 1994;Suppl:23–8.
Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg [Am] 1976;58-A:356–7.
Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg [Am] 1984;66-A:490–503.
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 [Am] 1995;77-A:847–56.
Hahn DM, Colton CL. Malleolar fractures. In: Ruedi TP, Murphy WL, eds. AO Principles of fracture management. Vol. 2. New York: Thieme, 2000:559–81.
Barnett CH, Napier JR. The axis of rotation at the ankle joint in man: its influence upon the form of the talus and the mobility of the fibula. J Anat 1952;86:1–9.
Tornetta P 3rd, Spoo JE, Reynolds FA, Lee C. Overtightening of the ankle syndesmosis: is it really possible? J Bone Joint Surg [Am] 2001;83-A:489–92.
de Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of the ankle. J Bone Joint Surg [Am] 1985;67-A:1066–74.
Bucholz RW, Henry S, Henley MB. Fixation with bioabsorbable screws for the treatment of fractures of the ankle. J Bone Joint Surg [Am] 1994;76-A:319–24.
Böstman OM, Pihlajamäki HK. Late foreign-body reaction to an intraosseous bioabsorbable polyactic acid screw: a case report. J Bone Joint Surg [Am] 1998;80-A:1791–4.
Thornes B, Shannon F, Guiney AM, Hession P, Masterson E. Suture-button syndesmosis fixation: accelerated rehabilitation and improved outcomes. Clin Orthop 2005;431:207–12.
Cotton FJ. Dislocations and joint-fractures. Philadelphia: WB Saunders Co. 1911:535–88.