nach oben

European Orthopaedics and Traumatology

Erschienen in:

01.03.2015 | Case Report

Deltoid ligament and syndesmotic injury of the ankle without fibular fracture: a treatment summary report

verfasst von: Nader Dayerizadeh, Joris De Vos, Geert De Loore

Erschienen in: European Orthopaedics and Traumatology | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Excerpt

Up to 18 % of ankle sprains are associated with deltoid ligament and syndesmotic injury [8]. However, ankle diastasis without fibular fracture is rarely reported in literature and mostly in athletes [3, 4]. This injury usually occurs with forced pronation-abduction or pronation and eversion of the foot, leading to external rotation or abduction in the ankle. Early diagnosis and proper surgical anatomic reduction are very important to prevent chronic ankle instability and evolution towards ankle arthritis. …

Alonso A, Khoury L, Adams R (1998) Clinical tests for ankle syndesmosis injury: reliability and return of function. J Orthop Sports Phys Ther 27:276–284CrossRefPubMed

Beumer A, van Hemert WL, Swierstra BA, Jasper LE, Belkoff SM (2003) A biomechanical evaluation of clinical stress tests for syndesmotic ankle instability. Foot Ankle Int 24:358–363PubMed

Boytim MJ, Fischer DA, Neumann L (1991) Syndesmotic ankle sprains. Am J Sports Med 19:294–298CrossRefPubMed

Clanton TO, Paul P (2002) Syndesmosis injuries in athletes. Foot Ankle Clin 7:529–549CrossRefPubMed

Coetzee JC, Eberling P (2008) Treatment of syndesmosis disruptions with TightRope fixation. Tech Foot Ankle Surg 7:196–201CrossRef

Darwish Husam H, Glisson RR, DeOrio JK (2012) Compression screw fixation of the syndesmosis. Foot Ankle Int 33:893CrossRefPubMed

DeGroot H, Al-Omari AA, Ghazaly SA et al (2011) Outcomes of suture button repair of the distal tibiofibular syndesmosis. Foot Ankle Int 32:250–256CrossRefPubMed

Edwards GS, DeLee JC (1984) Ankle diastasis without fracture. Foot & Ankle 4:305–312CrossRef

Egol KA, Amirtharajah M, Tejwani NC, Capla EL, Koval KJ (2004) Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. J Bone Joint Surg 86A(11):2393–2398

10.

Gardener MJ, Demetrakopoulos D, Briggs SM et al (2006) Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 27:788–792

11.

Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC (1998) Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle 19:653–660CrossRefPubMed

12.

Hamid N, Loeffler BJ, Braddy W, Kellam JF et al (2009) Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmosis screw. J Bone Joint Surg (Br) 91-B:1069–1073CrossRef

13.

Hansen M, Lee L, Wertheimer S (2006) Syndesmosis fixation: analysis of shear stress and axial load on 3.5 mm and 4.5 mm quadricortical syndesmotic screws. J Foot Ankle Surg 45:65–69CrossRefPubMed

14.

Hintermann B, Knupp M, Pagenstert GI (2006) Deltoid ligament injuries: diagnosis and management. Foot Ankle Clin 11:625–637CrossRefPubMed

15.

Hopkinson WJ, St. Pierre P et al (1990) Syndesmosis sprains of the ankle. Foot Ankle 10:325–330CrossRefPubMed

16.

Kiter E, Bozkurt M (2005) The crossed-leg test for examination of ankle syndesmosis injuries. Foot Ankle Int 26:187–188PubMed

17.

Klitzman R, Zhao H, Zhang LQ, Strohmeyer G, Vora A (2010) Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis. Foot Ankle Int 31(1):69–75CrossRefPubMed

18.

McCollum GA et al (2013) Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc 21:1328–1337CrossRefPubMed

19.

Michelson JD, Varner KE, Checcone M (2001) Diagnosing deltoid injury in ankle fractures: the gravity stress view. Clin Orthop Relat Res 387:178–182CrossRefPubMed

20.

Miller CD, Shelton WR et al (1995) Deltoid and syndesmosis ligament injury of the ankle without fracture. Am J Sports Med 23:746–750CrossRefPubMed

21.

Nielson JH, Gardner MJ, Peterson MG, Sallis JG, Potter HG, Helfet DL, Lorich DG (2005) Radiographic measurements do not predict syndesmotic injury in ankle fractures: an MRI study. Clin Orthop Relat Res 436:216–221CrossRefPubMed

22.

Park SS, Kubiak EN, Egol KA, Kummer F, Koval KJ (2006) Stress radiographs after ankle fracture: the effect of ankle position and deltoid ligament status on medial clear space measurements. J Orthop Trauma 20(1):11–18CrossRefPubMed

23.

Press CM, Gupta A, Hutchinson MR (2009) Management of ankle syndesmosis injuries in the athlete. Curr Sports Med Rep 8:228–233CrossRefPubMed

24.

Soin SP, Knight TA, Dinah AF, Mears SC, Swierstra BA, Belkoff SM (2009) Suture-button versus screw fixation in a syndesmosis rupture model: a biomechanical comparison. Foot Ankle Int 30:346–352CrossRefPubMed

25.

Strömsöe K, Hoqevold HE, Skjeldad S, Alho A (1995) The repair of a ruptured deltoid ligament is not necessary in ankle fractures. J Bone Joint Surg (Br) 77-B:920–921

26.

Stuart K, Panchbhavi VK (2011) The fate of syndesmotic screws. Foot Ankle Int 32(5):S519–S525CrossRefPubMed

27.

Teramato A, Suzuki D, Kayama T, Chikenji T, Watanabe K, Yamashita T (2011) Comparison of different fixation methods of the suture button implant for tibiofibular syndesmosis injuries. Am J Sports Med 39(10):2226–2232CrossRef

28.

Tornetta P III, Spoo JE, Reynolds FA et al (2001) Overtightening of the ankle syndesmosis: is it really possible? J Bone Joint SurgAm 83-A:489–492

29.

Treon K, Beastall K, Kumar K, Hope MJ (2011) Complications of ankle syndesmosis stabilization using a tightrope. J Bone Joint Surg Br 93-B:62–64CrossRef

30.

van den Bekerom MP, Lamme B, Hogervorst M, Bolhuis HW (2007) Which ankle fractures require syndesmotic stabilization? Foot Ankle Surg 46(6):456–63CrossRef

31.

van den Bekerom MP, Hogervorst M, Bolhuis HW, van Dijk CN (2008) Operative aspects of the syndesmotic screw: review of current concepts. Injury 39(4):491–498CrossRefPubMed

32.

van den Bekerom MP, Mutsaerts EL, van Dijk CN (2009) Evaluation of the integrity of the deltoid ligament in supination external rotation ankle fractures: a systematic review of the literature. Arch Orthop Trauma Surg 129(2):227–235CrossRefPubMed

33.

Waterman BR, Belmont PJ, Cameron KL, Svoboda SJ, Alitz CJ, Qwens BD (2011) Risk factors for syndesmotic and medial ankle sprain: the role of sex, sport and level of competition. Am J Sports Med 39:992–998CrossRefPubMed

34.

Willmott HJS, Singh B, David LA (2009) Outcome and complications of treatment of ankle diastasis with tightrope fixation. Injury 40:1204–1206CrossRefPubMed

35.

Wuest TK (1997) Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg 5:172–181PubMed

Titel: Deltoid ligament and syndesmotic injury of the ankle without fibular fracture: a treatment summary report
verfasst von: Nader Dayerizadeh
Joris De Vos
Geert De Loore
Publikationsdatum: 01.03.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Orthopaedics and Traumatology / Ausgabe 1/2015
Print ISSN: 1867-4569
Elektronische ISSN: 1867-4577
DOI: https://doi.org/10.1007/s12570-014-0256-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Deltoid ligament and syndesmotic injury of the ankle without fibular fracture: a treatment summary report

Excerpt

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2015

Two-staged arthroscopy-assisted treatment of a large depression fracture in the lateral femoral condyle associated with an acute anterior cruciate ligament tear

Comparative, prospective, randomized study of the modified minimally invasive technique versus the conventional technique of dynamic hip screw (DHS), fixation for intertrochanteric fractures in the elderly

Late fixation of vertically unstable type-C pelvic fractures: difficulties and surgical solutions

Erratum to: Late fixation of vertically unstable type-C pelvic fractures: difficulties and surgical solutions

Influence of pre-operative computerized tomography on the results of surgical treatment of secondary chondrosarcomas arising on osteochondromas: a retrospective sequential cohort study

Fine needle aspiration cytology versus core needle biopsy in the diagnosis of primary bone tumors: a retrospective study

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie