Comparison of two intraoperative assessment methods for injuries to the ankle syndesmosis: A cadaveric study

Journal of Bone and Joint Surgery

Volumn 91, Issue 11, 2009, Pages 2646-2652

  Stoffel, Karl ^a   Wysocki, David ^a   Baddour, Edward ^a   Nicholls, Rochelle ^a   Yates, Piers ^a  

^a FREMANTLE HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANKLE FRACTURE; ANKLE RADIOGRAPHY; ARTICLE; CADAVER; CLINICAL ASSESSMENT; CONTROLLED STUDY; DISEASE CLASSIFICATION; EXERCISE TEST; FEMALE; HUMAN; INTRAOPERATIVE PERIOD; LIGAMENT INJURY; MALE; PRIORITY JOURNAL; ROTATION; STRESS RADIOGRAPHY;

ADULT; AGED; AGED, 80 AND OVER; ANKLE INJURIES; CADAVER; HUMANS; INTRAOPERATIVE PERIOD; JOINT INSTABILITY; LATERAL LIGAMENT, ANKLE; MIDDLE AGED; STRESS, MECHANICAL;

EID: 70449762928     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.G.01537     Document Type: Article

References (36)

1. Hopkinson WJ, St Pierre P, Ryan JB, Wheeler JH. Syndesmosis sprains of the ankle. Foot Ankle. 1990;10:325-330
2. Weening B, Bhandari M. Predictors of functional outcome following trans-syndesmotic screw fixation of ankle fractures. J Orthop Trauma. 2005;19:102-108 (Pubitemid 40340218)
3. Zalavras C, Thordarson D. Ankle syndesmotic injury. J Am Acad Orthop Surg. 2007;15:330-339
4. Muratli HH, Biçimoǧlu A, Celebi L, Boyacigil S, Damgaci L, Tabak AY. Magnetic resonance arthrographic evaluation of syndesmotic diastasis in ankle fractures. Arch Orthop Trauma Surg. 2005;125:222-227 (Pubitemid 40867873)
5. Oae K, Takao M, Naito K, Uchio Y, Kono T, Ishda J, Ochi M. Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology. 2003;227:155-161 (Pubitemid 36384194)
6. Beumer A, van Hemert WL, Niesing R, Entius CA, Ginai AZ, Mulder PG, Swierstra BA. Radiographic measurement of the distal tibiofibular syndesmosis has limited use. Clin Orthop Relat Res. 2004;423:227-234 (Pubitemid 38787743)
7. Ebraheim NA, Elgafy H, Padanilam T. Syndesmotic disruption in low fibular fractures associated with deltoid ligament injury. Clin Orthop Relat Res. 2003;409:260-267 (Pubitemid 36417736)
8. 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;18:693-698 (Pubitemid 27495294)
9. Nielson JH, Gardner MJ, Peterson MG, Sallis JG, Potter HG, Helfet DL, Lorich DG. Radiographic measurements do not predict syndesmotic injury in ankle fractures: an MRI study. Clin Orthop Relat Res. 2005;436:216-221
10. Sclafani SJ. Ligamentous injury of the lower tibiofibular syndesmosis: radiographic evidence. Radiology. 1985;156:21-27
11. Lui TH, Ip K, Chow HT. Comparison of radiologic and arthroscopic diagnoses of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy. 2005;21:1370. (Pubitemid 41735205)
12. Takao M, Ochi M, Oae K, Naito K, Uchio Y. Diagnosis of a tear of the tibio-fibular syndesmosis. The role of arthroscopy of the ankle. J Bone Joint Surg Br. 2003;85:324-329 (Pubitemid 36511577)
13. Egol KA, Amirtharajah M, Tejwani NC, Capla EL, Koval KJ. Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. J Bone Joint Surg Am. 2004;86:2393-2398
14. McConnell T, Creevy W, Tornetta P 3rd. Stress examination of supination external rotation-type fibular fractures. J Bone Joint Surg Am. 2004;86:2171-2178 (Pubitemid 39349950)
15. Michelson JD, Varner KE, Checcone M. Diagnosing deltoid injury in ankle fractures: the gravity stress view. Clin Orthop Relat Res. 2001;387:178-182 (Pubitemid 32510339)
16. Park SS, Kubiak EN, Egol KA, Kummer F, Koval KJ. Stress radiographs after ankle fracture: the effect of ankle position and deltoid ligament status on medial clear space measurements. J Orthop Trauma. 2006;20:11-18 (Pubitemid 44378188)
17. Tornetta P 3rd. Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation. J Bone Joint Surg Am. 2000;82:843-848
18. Ogilvie-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy. 1994;10:561-568
19. Brosky T, Nyland J, Nitz A, Caborn DN. The ankle ligaments: consideration of syndesmotic injury and implications for rehabilitation. J Orthop Sports Phys Ther. 1995;21:197-205.
20. Monga P, Kumar A, Simons A, Panikker V. Management of distal tibiofibular syndesmotic injuries: a snapshot of current practice. Acta Orthop Belg. 2008;74:365-369
21. Phillips WA, Schwartz HS, Keller CS, Woodward HR, Rudd WS, Spiegel PG, Laros GS. A prospective, randomized study of the management of severe ankle fractures. J Bone Joint Surg Am. 1985;67:67-78. (Pubitemid 15193001)
22. Thomas JR, Nelson JK. Research methods in physical activity. Champaign, IL: Human Kinetics; 1996.
23. Jeffcote BO, Schirm AC, Nicholls RL, Kuster MS. The variation in medial and lateral collateral ligament strain and tibiofemoral forces following changes in the flexion and extension gaps in total knee replacement. A laboratory experiment using cadaver knees. J Bone Joint Surg Br. 2007;89:1528-1533
24. Nicholls RL, Jeffcote BO, Schirm AC, Kuster MS. Tibiofemoral force following total knee arthroplasty: comparison of four prosthesis designs in vitro. J Orthop Res. 2007;25:1506-1512
25. Weber BG. Die verletzungen des oberen sprunggelenkes. Bern: Huber; 1966.
26. Beumer A, Valstar ER, Garling EH, van Leeuwen WJ, Sikma W, Niesing R, Ranstam J, Löfvenberg R, Swierstra BA. Kinematics of the distal tibiofibular syndesmosis: radiostereometry in 11 normal ankles. Acta Orthop Scand. 2003;74:337-343 (Pubitemid 36890743)
27. Beumer A, Valstar ER, Garling EH, van Leeuwen WJ, Sikma W, Niesing R, Ranstam J, Swierstra BA. External rotation stress imaging in syndesmotic injuries of the ankle: comparison of lateral radiography and radiostereometry in a cadaveric model. Acta Orthop Scand. 2003;74:201-205 (Pubitemid 36628218)
28. Xenos JS, Hopkinson WJ, Mulligan ME, Olson EJ, Popovic NA. The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J Bone Joint Surg Am. 1995;77:847-856
29. Cotton F. Dislocations and joint fractures. Philadelphia: WB Saunders; 1910. p 535-588
30. Pettrone FA, Gail M, Pee D, Fitzpatrick T, Van Herpe LB. Quantitative criteria for prediction of the results after displaced fracture of the ankle. J Bone Joint Surg Am. 1983;65:667-677
31. Harper MC, Keller TS. A radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle. 1989;10:156-160
32. Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lydestadt J. Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. J Orthop Trauma. 2005;19:604-609 (Pubitemid 41598075)
33. Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am. 1984;66:490-503.
34. Boden SD, Labropoulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw. A cadaver study. J Bone Joint Surg Am. 1989;71:1548-1555 (Pubitemid 20054472)
35. Candal-Couto JJ, Burrow D, Bromage S, Briggs PJ. Instability of the tibiofibular syndesmosis: have we been pulling in the wrong direction? Injury. 2004;35:814-818
36. Pneumaticos SG, Noble PC, Chatziioannou SN, Trevino SG. The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle Int. 2002;23:107-111