Magnetic resonance imaging characterization of individual ankle syndesmosis structures in asymptomatic and surgically treated cohorts

Clanton, Thomas O.; Ho, Charles P.; Williams, Brady T.; Surowiec, Rachel K.; Gatlin, Coley C.; Haytmanek, C. Thomas; LaPrade, Robert F.

doi:10.1007/s00167-014-3399-1

Cited by 40 publications

(45 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may be explained by the primary trauma mechanism of dorsiflexion combined with an external rotational component [5,26,32]. In the present study, 81 % of the study participants only remembered hyperdorsiflexion as trauma mechanism.…”

Section: Discussionmentioning

confidence: 71%

Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI

Großterlinden

Hartel

Yamamura

et al. 2015

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 71%

Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI

Großterlinden

Hartel

Yamamura

et al. 2015

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…MRI has been shown to be accurate in identifying a rupture of one or more of the ligaments 45 46. However, it does not provide dynamic assessment of the syndesmosis and therefore abnormal movement cannot be diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Stable and unstable grade II syndesmotic injuries require different treatment strategies and vary in functional outcomes: a systematic review

et al. 2016

View full text Add to dashboard Cite

“…10 Widening of the syndesmosis was measured separately for the anterior width of syndesmosis and the posterior width of syndesmosis on transverse T2-weighted images. 4 Malreduction of the syndesmosis was defined as a 2-mm difference in the width of the syndesmosis, separately for anterior and posterior syndesmosis, compared with the untreated contralateral ankle. Calcification of the syndesmosis was documented as present or absent.…”

Section: Methodsmentioning

confidence: 99%

Five-Year Outcomes After Treatment for Acute Instability of the Tibiofibular Syndesmosis Using a Suture-Button Fixation System

Förschner

Beitzel

Imhoff

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Suture-button repair is a widely accepted surgical treatment for acute and isolated ankle syndesmosis injuries. To our knowledge, midterm results have not previously been reported.Purpose:To evaluate the clinical, qualitative, and quantitative radiological midterm outcomes of suture-button repair after acute isolated ankle syndesmosis injuries.Study Design:Retrospective case series; Level of evidence, 4.Methods:Clinical outcomes were measured using the Foot and Ankle Disability Index (FADI) and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Three-tesla magnetic resonance imaging (MRI) was performed bilaterally at the ankle. Besides morphological sequences for evaluation of the syndesmosis and degenerative changes of the ankle using the Ankle Osteoarthritis Scoring System (AOSS), the MR protocol included a coronal 2-dimensional multislice multiecho sequence for quantitative cartilage T2-weighted mapping. Spearman correlations and paired t tests were used for statistical analysis.Results:This retrospective study included 19 consecutive patients (mean age, 29.7 ± 11.5 years) with acute isolated syndesmosis injuries treated with a suture-button system between January 2006 and June 2014, with a mean follow-up of 5.1 ± 2.6 years. Postoperatively, the median FADI score was 136 (range, 78-136), and the median AOFAS score was 100 (range, 87-100). Seventeen (89.5%) patients reported to have reached their preinjury level of sports activities. MRIs of 16 patients were obtained and all showed intact anterior and posterior syndesmotic ligaments; however, in most patients, the previously injured syndesmotic ligament was thickened compared with the uninjured ankle. Average width of the anterior (P = .81) and posterior (P = .60) syndesmosis was not significantly different between the ipsilateral (3.2 ± 1.2 and 4.4 ± 0.9 mm) and contralateral ankles (3.0 ± 0.6 and 4.2 ± 0.7 mm). The median AOSS score was 1.5 (range, 0-11) for the ipsilateral ankle and 0 (range, 0-6) for the contralateral ankle. T2 values of articular cartilage did not significantly differ between the involved and the uninjured ankle (P = .68). Five patients needed hardware removal due to persistent skin irritation, and 1 patient suffered from reinstability of the ankle resulting in revision surgery 2 years after the index surgery.Conclusion:Suture-button fixation is an excellent treatment for acute and isolated syndesmosis injuries, resulting in stable ankles without early or advanced osteoarthritic changes at midterm follow-up.

show abstract

Magnetic resonance imaging characterization of individual ankle syndesmosis structures in asymptomatic and surgically treated cohorts

Abstract: II.

Cited by 40 publications

References 46 publications

Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI

Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI

Stable and unstable grade II syndesmotic injuries require different treatment strategies and vary in functional outcomes: a systematic review

Five-Year Outcomes After Treatment for Acute Instability of the Tibiofibular Syndesmosis Using a Suture-Button Fixation System

Contact Info

Product

Resources

About