The distal tibiofibular syndesmosis is essential for the stability of the ankle mortise. Injury to the distal tibiofibular syndesmosis can lead to mortise instability and should be treated with syndesmotic stabilization to prevent long-term complications and degenerative osteoarthritis. Syndesmotic injuries can occur in isolation but are often accompanied by a fracture and are most commonly due to external rotation trauma of the foot. Diagnosing syndesmotic injury can be challenging and should include a complete anamnesis and physical examination. Radiological evaluation can be of assistance but cannot be completely relied on. Treatment intends to restore the tibiofibular stability. A number of treatment options have been described of which the syndesmotic screw is the most widely used. There is no consensus on the number and diameter of screws, the number of cortices, the location of placement, and the after treatment.
|Title of host publication||Sports Injuries|
|Subtitle of host publication||Prevention, Diagnosis, Treatment and Rehabilitation, Second Edition|
|Publisher||Springer Berlin / Heidelberg|
|Number of pages||12|
|Publication status||Published - 1 Jan 2015|