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

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 ra...

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Autores principales: Pogliacomi, Francesco, De Filippo, Massimo, Casalini, Daniele, Longhi, Alberto, Tacci, Fabrizio, Perotta, Rocco, Pagnini, Francesco, Tocco, Silvio, Ceccarelli, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152437/
https://www.ncbi.nlm.nih.gov/pubmed/34055585
http://dx.doi.org/10.5312/wjo.v12.i5.270
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author Pogliacomi, Francesco
De Filippo, Massimo
Casalini, Daniele
Longhi, Alberto
Tacci, Fabrizio
Perotta, Rocco
Pagnini, Francesco
Tocco, Silvio
Ceccarelli, Francesco
author_facet Pogliacomi, Francesco
De Filippo, Massimo
Casalini, Daniele
Longhi, Alberto
Tacci, Fabrizio
Perotta, Rocco
Pagnini, Francesco
Tocco, Silvio
Ceccarelli, Francesco
author_sort Pogliacomi, Francesco
collection PubMed
description 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.
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spelling pubmed-81524372021-05-28 Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts Pogliacomi, Francesco De Filippo, Massimo Casalini, Daniele Longhi, Alberto Tacci, Fabrizio Perotta, Rocco Pagnini, Francesco Tocco, Silvio Ceccarelli, Francesco World J Orthop Minireviews 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. Baishideng Publishing Group Inc 2021-05-18 /pmc/articles/PMC8152437/ /pubmed/34055585 http://dx.doi.org/10.5312/wjo.v12.i5.270 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Minireviews
Pogliacomi, Francesco
De Filippo, Massimo
Casalini, Daniele
Longhi, Alberto
Tacci, Fabrizio
Perotta, Rocco
Pagnini, Francesco
Tocco, Silvio
Ceccarelli, Francesco
Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title_full Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title_fullStr Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title_full_unstemmed Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title_short Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts
title_sort acute syndesmotic injuries in ankle fractures: from diagnosis to treatment and current concepts
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152437/
https://www.ncbi.nlm.nih.gov/pubmed/34055585
http://dx.doi.org/10.5312/wjo.v12.i5.270
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