Tibiofibular syndesmosis in acute ankle fractures: additional value of an oblique MR image plane

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Weber C ankle fractures with tibiofibular diastasis: syndesmosis-only fixation

OBJECTIVES To evaluate syndesmosis-only fixation in Weber C ankle fractures with tibiofibular diastasis and to assess the need for additional fibular fixation. METHODS Twenty-one patients with Weber C ankle fractures and tibiofibular diastasis were followed for at least 24 months after treatment. In treatment of the Weber C fractures, only a syndesmosis screw was used through a mini open late...

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Injuries to the tibiofibular syndesmosis.

The management of injury to the distal tibiofibular syndesmosis remains controversial in the treatment of ankle fractures. Operative fixation usually involves the insertion of a metallic diastasis screw. There are a variety of options for the position and characterisation of the screw, the type of cortical fixation, and whether the screw should be removed prior to weight-bearing. This paper rev...

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Vascular anatomy of the tibiofibular syndesmosis.

BACKGROUND Injuries to the tibiofibular syndesmosis commonly cause prolonged ankle pain and disability. Syndesmotic injuries are associated with slower healing rates compared with rates for other ankle ligament injuries and typically result in longer time away from sports. To our knowledge, the vascular supply to the syndesmosis and its clinical implication have not previously been studied. The...

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Diagnosis of a tear of the tibiofibular syndesmosis. The role of arthroscopy of the ankle.

In 52 patients we compared the accuracy of standard anteroposterior (AP) radiography, mortise radiography and MRI with arthroscopy of the ankle for the diagnosis of a tear of the tibiofibular syndesmosis. In comparison with arthroscopy, the sensitivity, specificity and accuracy were 44.1%, 100% and 63.5% for standard AP radiography and 58.3%, 100% and 71.2% for mortise radiography. For MRI they...

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Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmosis screw.

The purpose of this study was to compare the clinical and radiological outcome of patients with intact, broken and removed syndesmosis screws after Weber B or C ankle fracture with an associated injury to the syndesmosis. We hypothesised that there would be no difference. Of a possible 142 patients who fulfilled our inclusion criteria, 52 returned for clinical and radiological assessment at lea...

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ژورنال

عنوان ژورنال: Skeletal Radiology

سال: 2011

ISSN: 0364-2348,1432-2161

DOI: 10.1007/s00256-011-1179-2