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tibiofibular ligament (PiTFL). These provide a three-point fixation of the fibula to the tibia ( 5 ). Additionally, the deltoid ligament (DL) stabilizes the talus medially and restrains its lateral shift ( 6 ). Syndesmotic injuries are commonly classified by
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Introduction The term syndesmotic injury is used to describe a lesion of the ligaments that connect the distal fibula and the tibial notch surrounded on both sides by the anterior and posterior tibial tubercles, with or without an associated
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Introduction Syndesmotic injuries occur in 20% of ankle fracture cases and in approximately 17% of all ankle sprains ( 1 , 2 , 3 , 4 ). Isolated syndesmotic injuries are referred to as high ankle sprains. These figures rise to up to 30% in
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assess tibiofibular diastasis, fibular rotation and joint asymmetry, but shows low sensitivity. 47 MRI is an essential tool, showing very high sensitivity and specificity in identification of syndesmotic injuries. 47 There are few reports on
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joint space must be visible completely. An important issue when treating ankle fractures is to determine syndesmotic injuries. After completion of the osteosynthesis of the distal fibula, the stability of the syndesmosis is tested with constant
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a syndesmotic injury . J Orthop Trauma 2015 ; 29 : 414 - 419 . 18 Miller AN Carroll EA Parker RJ . Direct visualization for syndesmotic stabilization of ankle fractures . Foot Ankle Int 2009 ; 30 : 419 - 426
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is vertical instability, such as when a syndesmotic injury is associated with a multifragmented high Weber C-type/PER fibula fracture. 44 We would like to draw readers’ attention to two issues related to syndesmosis screw fixation. Firstly
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: 146 - 8 . 20. Cancienne JM Crosen MP Yarboro SR . Use of a hybrid operating room to improve reduction of syndesmotic injuries in ankle fractures: a case report . J Foot Ankle Surg 2016 ; 55 : 1052 - 6 . 21
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Miller AN , Carroll EA , Parker RJ , Helfet DL , Lorich DG . Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation . Clin Orthop Relat Res 2010 ; 468 : 1129 - 35 . 34
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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metatarsal stress fractures, ankle and subtalar fusions and syndesmotic injuries. Fields of application Calcaneus fracture: less-invasive osteosynthesis Calcaneal fractures remain a challenge in orthopaedic surgery and require a significant
