Acute syndesmotic injuries in ankle fractures:From diagnosis to treatment and current concepts  

作　　者：Francesco Pogliacomi Massimo De Filippo Daniele Casalini Alberto Longhi Fabrizio Tacci Rocco Perotta Francesco Pagnini Silvio Tocco Francesco Ceccarelli 

机构地区：[1]Department of Medicine and Surgery,Orthopaedic Clinic,Parma 43126,Italy [2]Department of Medicine and Surgery,University of Parma,Parma 43126,Italy [3]Centro Riabilitativo della Mano e Arto Superiore,Parma 43121,Italy

出　　处：《World Journal of Orthopedics》2021年第5期270-291,共22页世界骨科杂志（英文版）

摘　　要：A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship,and it is essential for normal motion of the ankle joint.The disruption of this joint is frequently accompanied by rotational ankle fracture,such as pronation-external rotation,and rarely occurs without ankle fracture.The diagnosis is not simple,and ideal management of the various presentations of syndesmotic injury remains controversial to this day.Anatomical restoration and stabilization of the disrupted tibiofibular syndesmosis is essential to improve functional outcomes.In such an injury,including inadequately treated,misdiagnosed and correctly diagnosed cases,a chronic pattern characterized by persistent ankle pain,function disability and early osteoarthritis can result.This paper reviews anatomical and biomechanical characteristics of this syndesmosis,the mechanism of its acute injury associated to fractures,radiological and arthroscopic diagnosis and surgical treatment.

关 键 词：ANKLE Fracture INJURY Distal tibiofibular joint TRAUMA SYNDESMOSIS 

分 类 号：R687.3[医药卫生—骨科学]