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International Orthopaedics

Erschienen in:

23.08.2019 | Review

Diagnosis and treatment of ankle syndesmosis injuries with associated interosseous membrane injury: a current concept review

verfasst von: Guang-Shu Yu, Yan-Bin Lin, Guo-Sheng Xiong, Hong-Bin Xu, You-Ying Liu

Erschienen in: International Orthopaedics | Ausgabe 11/2019

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Abstract

Background

Tibiofibular syndesmosis injury leads to ankle pain and dysfunction when ankle injuries are not treated properly. Despite several studies having been performed, many questions about diagnosis and treatment remain unanswered, especially in ankle syndesmosis injury with interosseous membrane injury. Therefore, the purpose of this study was to help guide best practice recommendations.

Methods

This review explores the mechanism of injury, clinical features, diagnosis methods, and the treatment strategy for ankle syndesmosis injury with interosseous membrane injury to highlight the current evidence in terms of the controversies surrounding the management of these injuries.

Results

Radiological and CT examination are an important basis for diagnosing ankle syndesmosis injury. Physical examination combined with MRI to determine the damage to the interosseous membrane is significant in guiding the treatment of ankle syndesmosis injury with interosseous membrane injury. In the past, inserting syndesmosis screws was the gold standard for treating ankle syndesmosis injury. However, there were increasingly more controversies regarding loss of reduction and broken nails, so elastic fixation has become more popular in recent years.

Conclusions

Anatomical reduction and effective fixation are the main aspects to be considered in the treatment of ankle syndesmosis injury with interosseous membrane injury and are the key to reducing postsurgery complications.

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Titel: Diagnosis and treatment of ankle syndesmosis injuries with associated interosseous membrane injury: a current concept review
verfasst von: Guang-Shu Yu
Yan-Bin Lin
Guo-Sheng Xiong
Hong-Bin Xu
You-Ying Liu
Publikationsdatum: 23.08.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 11/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-019-04396-w

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