Ankle syndesmosis injury - Revision history

Rossdonaldson1: /* Evaluation */

2017-01-05T06:21:30Z

Evaluation

← Older revision		Revision as of 06:21, 5 January 2017
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	==Evaluation==		==Evaluation==
	*Decreased tibio-fibular overlap (normally >6mm on AP films measured 1 cm proximal from the tibial plafond) <ref name="Injuries to ankle syndesmosis">Heest, TJ & Lafferty, PM. Injuries to the ankle syndesmosis. 2014. J Bone Joint Surg Am, 96(7): 603-13 </ref>		*Decreased tibio-fibular overlap (normally >6mm on AP films measured 1 cm proximal from the tibial plafond) <ref name="Injuries to ankle syndesmosis">Heest, TJ & Lafferty, PM. Injuries to the ankle syndesmosis. 2014. J Bone Joint Surg Am, 96(7): 603-13 </ref>

	*Increased tibio-fibular syndesmosis clear space (normally <6mm on AP films measured 1 cm proximal from the tibial plafond)		*Increased tibio-fibular syndesmosis clear space (normally <6mm on AP films measured 1 cm proximal from the tibial plafond)
	*Increased medial clear space (normally <5mm)		*Increased medial clear space (normally <5mm)

Rossdonaldson1 at 06:20, 5 January 2017

2017-01-05T06:20:59Z

← Older revision		Revision as of 06:20, 5 January 2017
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	==Background==		==Background==
	*5-18% of all ankle ~~sprains~~ injure the distal tibiofibular syndesmosis <ref name="Ankle Syndesmosis Injuries">Lin, CF, Gross, ML, & Weinhold, P. Ankle syndesmosis injuries: Anatomy, biomechanics, mechanism of injury, and clinical guidelines for diagnosis and intervention. 2006. J Orthop Sports Phys Ther, 36(6): 372-84 </ref>		*5-18% of all [[ankle sprain]]s injure the distal tibiofibular syndesmosis <ref name="Ankle Syndesmosis Injuries">Lin, CF, Gross, ML, & Weinhold, P. Ankle syndesmosis injuries: Anatomy, biomechanics, mechanism of injury, and clinical guidelines for diagnosis and intervention. 2006. J Orthop Sports Phys Ther, 36(6): 372-84 </ref>
	*Highly unstable if the deltoid ligament is injured as well		*Highly unstable if the deltoid ligament is injured as well
	*Mechanism is via external rotation and hyperdorsiflexion		*Mechanism is via external rotation and hyperdorsiflexion

Rossdonaldson1: /* See Also */

2017-01-05T06:20:41Z

ClaireLewis at 21:40, 26 December 2016

2016-12-26T21:40:01Z

← Older revision		Revision as of 21:40, 26 December 2016
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	==See Also==		==See Also==
			*[[Ankle diagnoses]]

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>

			[[Category: Orthopedics]]

Ted Fan: Created page with "==Background== *5-18% of all ankle sprains injure the distal tibiofibular syndesmosis Lin, CF, Gross, ML, & Weinhold, P. Ankle syndesmos..."

2016-12-26T07:17:26Z

Created page with "==Background== *5-18% of all ankle sprains injure the distal tibiofibular syndesmosis <ref name="Ankle Syndesmosis Injuries">Lin, CF, Gross, ML, & Weinhold, P. Ankle syndesmos..."

New page

==Background==
*5-18% of all ankle sprains injure the distal tibiofibular syndesmosis <ref name="Ankle Syndesmosis Injuries">Lin, CF, Gross, ML, & Weinhold, P. Ankle syndesmosis injuries: Anatomy, biomechanics, mechanism of injury, and clinical guidelines for diagnosis and intervention. 2006. J Orthop Sports Phys Ther, 36(6): 372-84 </ref>
*Highly unstable if the deltoid ligament is injured as well
*Mechanism is via external rotation and hyperdorsiflexion
*Associated with [[Maisonneuve fracture]]

==Clinical Features==
*Toe walking: to prevent painful dorsiflexion
*External rotation stress test: flex knee at 90 degrees then externally rotate the foot
*Squeeze/Hopkin's test: compress mid/proximal calf to separate the tibia and fibula distally

==Differential Diagnosis==
{{Other ankle injuries DDX}}

{{Distal leg fractures DDX}}

{{Foot and toe fractures DDX}}

==Evaluation==
*Decreased tibio-fibular overlap (normally >6mm on AP films measured 1 cm proximal from the tibial plafond) <ref name="Injuries to ankle syndesmosis">Heest, TJ & Lafferty, PM. Injuries to the ankle syndesmosis. 2014. J Bone Joint Surg Am, 96(7): 603-13 </ref>

*Increased tibio-fibular syndesmosis clear space (normally <6mm on AP films measured 1 cm proximal from the tibial plafond)
*Increased medial clear space (normally <5mm)

==Management==
*Non weight bearing
*[[Posterior ankle splint]]

==Disposition==
*Orthopedic follow up. May need screw fixation if joint is subluxed

==See Also==

==External Links==
https://emergencymedicinecases.com/episode-58-tendons-ligaments-missed-orthopedic-injuries/

==References==
<references/>

← Older revision		Revision as of 06:20, 5 January 2017
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	==See Also==		==See Also==
	*[[Ankle diagnoses]]		*[[Ankle diagnoses]]
			*[[Maisonneuve fracture]]

	==External Links==		==External Links==