Evaluation and management of ankle syndesmosis injuries

Physical Therapy in Sport

Volumn 12, Issue 2, 2011, Pages 57-69

  Mulligan, Edward P ^a  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Ankle injuries; Review; Syndesmosis; Tibiofibular joint

Indexed keywords

ANATOMICAL VARIATION; ANKLE FRACTURE; ANKLE RADIOGRAPHY; ANKLE SPRAIN; ATHLETIC TAPE; BIOMECHANICS; BONE SCREW; BRACE; CLINICAL DECISION MAKING; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONTACT SPORT; CONVALESCENCE; CROSSED LEG TEST; DIAGNOSTIC ACCURACY; DISEASE PREDISPOSITION; DORSIFLEXION COMPRESSION TEST; DORSIFLEXION EXTERNAL ROTATION TEST; FUNCTIONAL ANATOMY; FUNCTIONAL STATUS; FUNCTIONAL TRAINING; HEEL THUMP TEST; HETEROTOPIC OSSIFICATION; HUMAN; JOINT MOBILITY; MANUAL STABILITY TEST; MUSCULOSKELETAL SYSTEM EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; ORTHOPEDIC SHOE; PATHOGENESIS; PLATE FIXATION; PRIORITY JOURNAL; PROGNOSIS; RISK FACTOR; SCORING SYSTEM; SHORT SURVEY; SPORT INJURY; SQUEEZE TEST; SYNOSTOSIS; WALKING DIFFICULTY; WEIGHT BEARING;

ANKLE INJURIES; ATHLETIC INJURIES; BIOMECHANICS; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC IMAGING; HUMANS; LIGAMENTS, ARTICULAR; PHYSICAL EXAMINATION; PHYSICAL THERAPY MODALITIES; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RECOVERY OF FUNCTION;

EID: 79954570713     PISSN: 1466853X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ptsp.2011.03.001     Document Type: Short Survey

References (42)

1. Alonso A., Khoury L., Adams R. Clinical tests for ankle syndesmosis injury: reliability and prediction of return to function. Journal of Orthopaedic and Sports Physical Therapy 1998, 27:276-284.
2. Beckman S.M., Buchanan T.S. Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Archives of Physical Medicine and Rehabilitation 1995, 76:1138-1143.
3. Beumer A., Swierstra B.A., Mulder P.G. Clinical diagnosis of syndesmotic ankle instability: evaluation of stress tests behind the curtains. Acta Orthopaedica Scandinavica 2002, 73:667-669.
4. Beumer A., van Hemer W.L., Niesing R., Entius C., Ginai A.Z., Mulder P.G., et al. Radiographic measurement of the distal tibiofibular syndesmosis has limited use. Clinical Orthopedics Related Research 2004, 423:227-234.
5. Boytim M.J., Fischer D.A., Neumann L. Syndesmotic ankle sprains. American Journal of Sports Medicine 1991, 19:294-298.
6. Bullock-Saxton J.E., Janda V., Bullock M.I. The influence of ankle sprain injury on muscle activation during hip extension. International Journal of Sports Medicine 1994, 15:330-334.
7. Clanton T.O., Paul P. Syndesmosis injuries in athletes. Foot and Ankle Clinics. 2002, 7:529-549.
8. Coetzee J.C., Ebeling P. Treatment of syndesmoses disruptions: a prospective, randomized study comparing conventional screw fixation vs TightRope® fiber wire fixation - Medium term results. South African Orthopaedic Journal 2009, 8:32-37.
9. Cottom J.M., Hyer C.F., Philbin T.M., Berlet G.C. Transosseous fixation of the distal tibiofibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases. Journal of Foot and Ankle Surgery. 2009, 48:620-630.
10. Dattani R., Patnaik S., Kantak A., Srikanth B., Selvan T.P. Injuries to the tibiofibular syndesmosis. Journal of Bone and Joint Surgery British. 2008, 90:405-410.
11. Doughtie M. Syndesmotic ankle sprains in football: a survey of national football league athletic trainers. Journal of Athletic Training 1999, 34:15-18.
12. Ebraheim N.A., Lu J., Yang H., Mekhail A.O., Yeasting R.A. Radiographic and CT evaluation of tibiofibular syndesmotic diastasis: a cadaver study. Foot & Ankle International. 1997, 18:693-698.
13. Eechaute C., Vaes P., Van Aerschot L., Asman S., Duquet W. The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review. BMC Musculoskeletal Disorders 2007, 8:6.
14. Evans J.M., Schucany W.G. Radiological evaluation of a high ankle sprain. Proceedings (Baylor University Medical Center). 2006, 19:402-405.
15. Fites B., Kunes J., Madaleno J., Johnson D.L. Latent syndesmosis injuries in athletes. Orthopedics 2006, 29:124-127.
16. Gerber J.P., Williams G.N., Scoville C.R., Arciero R.A., Taylor D.C. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot and Ankle International. 1998, 19:653-660.
17. Hale S.A., Hertel J. Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. Journal of Athletic Training. 2005, 40:35-40.
18. Hopkinson W.J., St Pierre P., Ryan J.B., Wheeler J.H. Syndesmosis sprains of the ankle. Foot and Ankle International. 1990, 10:325-330.
19. Kiter E., Bozkurt M. The crossed-leg test for examination of ankle syndesmosis injuries. Foot and Ankle International 2005, 26:187-188.
20. Lin C.F., Gross M.L., Weinhold P. Ankle syndesmosis injuries: anatomy, biomechanics, mechanism of injury, and clinical guidelines for diagnosis and intervention. Journal of Orthopaedic and Sports Physical Therapy. 2006, 36:372-384.
21. Lindenfeld T., Parikh S. Clinical tip: heel thump test for syndesmotic sprain. Foot and Ankle International. 2005, 26:406-408.
22. Mei-Dan O., Kots E., Barchilon V., Massarwe S., Nyska M., Mann G. A dynamic ultrasound examination for the diagnosis of ankle syndesmotic injury in professional athletes: a preliminary study. American Journal of Sports Medicine. 2009, 37:1009-1016.
23. Miller A.N., Paul O., Boraiah S., Parker R.J., Helfet D.L., Lorich D.G. Functional outcomes after syndesmotic screw fixation and removal. Journal of Orthopedic Trauma. 2010, 24:12-16.
24. Nicholas J.A., Strizak A.M., Veras G. A study of thigh muscle weakness in different pathological states of the lower extremity. American Journal of Sports Medicine. 1976, 4:241-248.
25. Norkus S.A., Floyd R.T. The anatomy and mechanism of syndesmotic sprains. Journal of Athletic Training. 2001, 36:68-73.
26. Nussbaum E.D., Hosea T.M., Gatt C.D. Managing high ankle sprains. Journal of Musculoskeletal Medicine 2004, 21:621-630.
27. Nussbaum E.D., Hosea T.M., Sieler S.D., Incremona B.R., Kessler D.E. Prospective evaluation of syndesmotic ankle sprains without diastasis. American Journal of Sports Medicine. 2001, 29:31-35.
28. Oae K., Takao M., Naito K., Uchio Y., Kono T., Ishida J., et al. Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology 2003, 227:155-161.
29. Ogilvie-Harris D.J., Reed S.C., Hedman T.P. Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. Arthroscopy 1994, 10:558-560.
30. Pajaczkowski J.A. Rehabilitation of distal tibiofibular syndesmosis sprains: a case report. Journal of Canadian Chiropractic Association. 2007, 51:42-49.
31. Peter R.E., Harrington R.M., Henley M.B. Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: comparison of two fixation techniques. J Orthop Trauma 1994, 8:215-219.
32. Press C.M., Gupta A., Hutchinson M.R. Management of ankle syndesmosis injuries in the athlete. Current Sports Medicine Reports. 2009, 8:228-233.
33. Rammelt S., Zwip H., Grass R.I. Injuries to the distal syndesmosis: an evidence-based approach to acute and chronic lesions. Foot and Ankle Clinics. 2008, 13:611-633.
34. Stiell I.G., McKnight R.D., Greenberg G.H., McDowell I., Nair R.C., Wells G.A., et al. Implementation of the Ottawa ankle rules. Journal of the American Medical Association. 1994, 271:827-832.
35. 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. Journal of Bone and Joint Surgery. 2003, 85B:324-329.
36. Taylor D.C., Englehardt D.L., Bassett F.H. Syndesmosis sprains of the ankle. The influence of heterotopic ossification. American Journal of Sports Medicine. 1992, 20:146-150.
37. Ward D.W. Syndesmotic ankle sprain in a recreational hockey player. Journal of Manipulative and Physiological Therapeutics 1994, 17:385-394.
38. Wilkerson G.B. Biomechanical and neuromuscular effects of ankle taping and bracing. Journal of Athletic Training. 2002, 37:436-445.
39. Williams G.N., Jones M.H., Amendola A. Syndesmotic ankle sprains in athletes. American Journal of Sports Medicine. 2007, 35:1197-1207.
40. Wright R.W., Barile R.J., Surprenant D.A., Matava M.J. Ankle syndesmosis sprains in national hockey league players. American Journal of Sports Medicine. 2004, 32:1941-1945.
41. Xenos J.S., Hopkinson W.J., Mulligan M.E., Olson E.J., Popovic N.A. The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. Journal of Bone and Joint Surgery American. 1995, 77:847-856.
42. Zalavras C., Thordarson D. Ankle syndesmotic injury. Journal of the American Academy of Orthopaedic Surgeons. 2007, 15:330-339.