Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Management of High Ankle Sprain

원위 경비인대 염좌의 치료

  • Choi, Kwi Youn (Department of Orthopaedic Surgery, School of Medicine, Chosun University) ;
  • Lee, Jun Young (Department of Orthopaedic Surgery, School of Medicine, Chosun University)
  • 최귀연 (조선대학교 의과대학 정형외과학교실) ;
  • 이준영 (조선대학교 의과대학 정형외과학교실)
  • Received : 2018.10.16
  • Accepted : 2018.10.28
  • Published : 2018.12.15
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Abstract

High ankle sprain (distal tibiofibular syndesmosis injury) occurs from rotational injuries, specifically external rotation, and may be associated with ankle fractures. The prevalence of these injuries may be higher than previously reported because they may be missed in an initial examination. Syndesmosis injury can lead to significant complications in injured ankle joints, so a precise physical examination and radiological evaluation is necessary. The most important treatment goal is to have the tibia and fibula located in the correct position with respect to each other and to heal in that position. The methods to fix these injuries is controversial.

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References

  1. van den Bekerom MP, Lamme B, Hogervorst M, Bolhuis HW. Which ankle fractures require syndesmotic stabilization? J Foot Ankle Surg. 2007;46:456-63. https://doi.org/10.1053/j.jfas.2007.08.009
  2. Clanton TO, Paul P. Syndesmosis injuries in athletes. Foot Ankle Clin. 2002;7:529-49. https://doi.org/10.1016/S1083-7515(02)00045-1
  3. Dattani R, Patnaik S, Kantak A, Srikanth B, Selvan TP. Injuries to the tibiofibular syndesmosis. J Bone Joint Surg Br. 2008;90:405-10.
  4. Marti RK, Raaymakers EL, Nolte PA. Malunited ankle fractures. The late results of reconstruction. J Bone Joint Surg Br. 1990;72:709-13.
  5. Rammelt S, Zwipp H, Grass R. Injuries to the distal tibiofibular syndesmosis: an evidence-based approach to acute and chronic lesions. Foot Ankle Clin. 2008;13:611-33, vii-viii. https://doi.org/10.1016/j.fcl.2008.08.001
  6. Ogilvie-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy. 1994;10:561-8. https://doi.org/10.1016/S0749-8063(05)80015-5
  7. Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lydestadt J. Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. J Orthop Trauma. 2005;19:604-9. https://doi.org/10.1097/01.bot.0000177114.13263.12
  8. Pena FA, Coetzee JC. Ankle syndesmosis injuries. Foot Ankle Clin. 2006;11:35-50, viii. https://doi.org/10.1016/j.fcl.2005.12.007
  9. Markolf KL, Jackson SR, McAllister DR. Syndesmosis fixation using dual 3.5 mm and 4.5 mm screws with tricortical and quadricortical purchase: a biomechanical study. Foot Ankle Int. 2013;34:734-9. https://doi.org/10.1177/1071100713478923
  10. Harris IA, Jones HP. The fate of the syndesmosis in type C ankle fractures: a cadaveric study. Injury. 1997;28:275-7. https://doi.org/10.1016/S0020-1383(97)00010-7
  11. Zalavras C, Thordarson D. Ankle syndesmotic injury. J Am Acad Orthop Surg. 2007;15:330-9. https://doi.org/10.5435/00124635-200706000-00002
  12. Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, et al. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot Ankle Int. 2012;33:371-8. https://doi.org/10.3113/FAI.2012.0371
  13. Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, et al. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015;49:323-9. https://doi.org/10.1136/bjsports-2013-092787
  14. Wuest TK. Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg. 1997;5:172-81. https://doi.org/10.5435/00124635-199705000-00006
  15. Pneumaticos SG, Noble PC, Chatziioannou SN, Trevino SG. The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle Int. 2002;23:107-11. https://doi.org/10.1177/107110070202300205
  16. Takao M, Ochi M, Oae K, Naito K, Uchio Y. Diagnosis of a tear of the tibiofibular syndesmosis. The role of arthroscopy of the ankle. J Bone Joint Surg Br. 2003;85:324-9.
  17. Ebraheim NA, Elgafy H, Padanilam T. Syndesmotic disruption in low fibular fractures associated with deltoid ligament injury. Clin Orthop Relat Res. 2003;(409):260-7.
  18. Heim D, Heim U, Regazzoni P. [Malleolar fractures with ankle joint instability--experience with the positioning screw]. Unfallchirurgie. 1993;19:307-12. German. https://doi.org/10.1007/BF02588127
  19. Jones CB, Gilde A, Sietsema DL. Treatment of syndesmotic injuries of the ankle: a critical analysis review. JBJS Rev. 2015;3. doi:10.2106/JBJS.RVW.N.00083.
  20. Thompson MC, Gesink DS. Biomechanical comparison of syndesmosis fixation with 3.5- and 4.5-millimeter stainless steel screws. Foot Ankle Int. 2000;21:736-41. https://doi.org/10.1177/107110070002100904
  21. Needleman RL, Skrade DA, Stiehl JB. Effect of the syndesmotic screw on ankle motion. Foot Ankle. 1989;10:17-24. https://doi.org/10.1177/107110078901000104
  22. Andersen MR, Frihagen F, Hellund JC, Madsen JE, Figved W. Randomized trial comparing suture button with single syndesmotic screw for syndesmosis injury. J Bone Joint Surg Am. 2018;100:2-12. https://doi.org/10.2106/JBJS.16.01011
  23. Degroot H, Al-Omari AA, El Ghazaly SA. Outcomes of suture button repair of the distal tibiofibular syndesmosis. Foot Ankle Int. 2011;32:250-6. https://doi.org/10.3113/FAI.2011.0250
  24. Thornes B, Walsh A, Hislop M, Murray P, O'Brien M. Sutureendobutton fixation of ankle tibio-fibular diastasis: a cadaver study. Foot Ankle Int. 2003;24:142-6. https://doi.org/10.1177/107110070302400208
  25. McBryde A, Chiasson B, Wilhelm A, Donovan F, Ray T, Bacilla P. Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int. 1997;18:262-6. https://doi.org/10.1177/107110079701800503
  26. Kukreti S, Faraj A, Miles JN. Does position of syndesmotic screw affect functional and radiological outcome in ankle fractures? Injury. 2005;36:1121-4. https://doi.org/10.1016/j.injury.2005.01.014
  27. Tornetta P 3rd, Spoo JE, Reynolds FA, Lee C. Overtightening of the ankle syndesmosis: is it really possible? J Bone Joint Surg Am. 2001;83:489-92. https://doi.org/10.2106/00004623-200104000-00002
  28. Ebraheim NA, Lu J, Yang H, Mekhail AO, Yeasting RA. Radiographic and CT evaluation of tibiofibular syndesmotic diastasis: a cadaver study. Foot Ankle Int. 1997;18:693-8. https://doi.org/10.1177/107110079701801103
  29. Song DJ, Lanzi JT, Groth AT, Drake M, Orchowski JR, Shaha SH, et al. The effect of syndesmosis screw removal on the reduction of the distal tibiofibular joint: a prospective radiographic study. Foot Ankle Int. 2014;35:543-8. https://doi.org/10.1177/1071100714524552