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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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Introduction Isolated injuries to the syndesmotic complex occur in approximately 1–17% of all ankle sprains ( 1 , 2 ) and in up to 30% in high-impact sports ( 3 ). Furthermore, the syndesmosis is injured in up to 13% of all ankle fractures
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and athlete. This section will consider syndesmotic lesions, with or without associated ankle ligamentous injuries, excluding association with ankle fractures. Anatomy The syndesmosis is an essential stabilizer of the ankle joint and consists of
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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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, posterior) Trans-syndesmotic Type B Supination external rotation (SER) 1. Injury of AITFL 2. Low oblique/short spiral fracture of lateral malleolus 3. Injury of PITFL or fracture of posterior malleolus 4. Deltoid ligament injury or fracture of
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(syndesmotic) or deltoid ligaments is not rare and associated injuries to the tendons around the ankle, cartilage damage and bone bruises are frequently induced in cases of acute ankle sprains. 6 , 7 These cases represent complex injuries of the ankle
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ligament ruptures and isolated medial malleolar fractures without syndesmotic or lateral instability. Relevant injury to the tibio-fibular syndesmosis and/or deltoid ligament has to be ruled out by either stress or standing radiographs. 23 , 24
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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rigidity in comparison to metal screws. 140 Looking at the clinical and radiological outcome, the dynamic fixation for acute syndesmotic injuries is superior compared to static screw fixation. 141 – 144 But these studies included mainly
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ligamentous lesions including syndesmotic injuries are diagnosed by MRI scan. 54 In a study conducted on 261 ankle MRI scans of athletes who had acute ankle sprains, acute osteochondral lesions of the lateral talar dome were seen in 20 ankles (7
