胫腓下联合慢性损伤的治疗
Management of chronic disruption of the distal tibiofibular syndesmosis.
作者信息
Miyamoto Wataru, Takao Masato
机构信息
Wataru Miyamoto, Masato Takao, Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo 173-8605, Japan.
出版信息
World J Orthop. 2011 Jan 18;2(1):1-6. doi: 10.5312/wjo.v2.i1.1.
Abstract
Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture. In such injury, not only inadequately treated or misdiagnosed cases, but also correctly diagnosed cases can possibly result in a chronic pattern which is more troublesome to treat than an acute pattern. This paper reviews anatomical and biomechanical characteristics of the distal tibiofibular joint, the mechanism of chronic disruption of the distal tibiofibular syndesmosis, radiological and arthroscopic diagnosis, and surgical treatment.
摘要
胫腓下联合分离常伴有旋转移位型踝关节骨折，如旋前-外旋型骨折，极少在无踝关节骨折的情况下单独发生。在这种损伤中，不仅治疗不当或误诊的病例，而且正确诊断的病例也可能导致慢性病变，其治疗比急性损伤更为棘手。本文综述了胫腓下关节的解剖和生物力学特点、胫腓下联合慢性损伤的机制、影像学及关节镜诊断以及手术治疗。
相似文献
1
Management of chronic disruption of the distal tibiofibular syndesmosis.
World J Orthop. 2011 Jan 18;2(1):1-6. doi: 10.5312/wjo.v2.i1.1.
2
Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts.
World J Orthop. 2021 May 18;12(5):270-291. doi: 10.5312/wjo.v12.i5.270.
3
[TREATMENT OF PRONATION EXTERNAL ROTATION ANKLE FRACTURE COMBINED WITH SEPARATION OF DISTAL TIBIOFIBULAR SYNDESMOSIS].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Sep 8;30(9):1081-1084. doi: 10.7507/1002-1892.20160220.
4
[Effectiveness comparison of flexible fixation and rigid fixation in treatment of ankle pronation-external rotation fractures with distal tibiofibular syndesmosis].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Jul 15;31(7):820-824. doi: 10.7507/1002-1892.201702050.
5
Arthroscopic diagnosis of tibiofibular syndesmosis disruption.
Arthroscopy. 2001 Oct;17(8):836-43. doi: 10.1016/s0749-8063(01)90007-6.
6
Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach.
J Anat. 2010 Dec;217(6):633-45. doi: 10.1111/j.1469-7580.2010.01302.x.
7
Three-dimensional analysis of ankle instability after tibiofibular syndesmosis injuries: a biomechanical experimental study.
Am J Sports Med. 2008 Feb;36(2):348-52. doi: 10.1177/0363546507308235. Epub 2007 Oct 16.
8
[Endobutton and cortical screw fixation for the treatment of distal tibiofibular syndesmosis separated].
Zhongguo Gu Shang. 2016 Aug 25;29(8):729-733. doi: 10.3969/j.issn.1003-0034.2016.08.011.
9
Distal Tibiofibular Syndesmosis: Anatomy, Biomechanics, Injury and Management.
Open Orthop J. 2017 Jul 31;11:670-677. doi: 10.2174/1874325001711010670. eCollection 2017.
10
[Injuries of the inferior tibiofibular syndesmosis].
Unfallchirurg. 2000 Jul;103(7):520-32.
引用本文的文献
1
Stabilization of Anterior Aspect of Distal Tibiofibular Syndesmosis: A Fully Arthroscopic Technique.
Arthrosc Tech. 2024 May 18;13(9):103035. doi: 10.1016/j.eats.2024.103035. eCollection 2024 Sep.
2
Anterior Incisura Fibularis Corner Landmarks Can Safely Validate the Optimal Distal Tibiofibular Reduction in Malleolar Fractures-Prospective CT Study.
Diagnostics (Basel). 2023 Aug 7;13(15):2615. doi: 10.3390/diagnostics13152615.
3
Ankle syndesmotic reconstruction in chronic ankle syndesmotic injury.
BMJ Case Rep. 2023 Apr 11;16(4):e251434. doi: 10.1136/bcr-2022-251434.
4
Elastic Reconstruction of Chronic Instability of the Distal Tibiofibular Joint in an Obese Patient: A Case Report.
Cureus. 2022 May 30;14(5):e25469. doi: 10.7759/cureus.25469. eCollection 2022 May.
5
Evidence-Based Surgical Treatment Algorithm for Unstable Syndesmotic Injuries.
J Clin Med. 2022 Jan 10;11(2):331. doi: 10.3390/jcm11020331.
6
APKASS Consensus Statement on Chronic Syndesmosis Injury, Part 3: Fusion Techniques, Comorbidity Treatments, Postoperative Rehabilitation, and Return-to-Sport Indications.
Orthop J Sports Med. 2021 Jun 21;9(6):23259671211021059. doi: 10.1177/23259671211021059. eCollection 2021 Jun.
7
Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts.
World J Orthop. 2021 May 18;12(5):270-291. doi: 10.5312/wjo.v12.i5.270.
8
Reconstruction of Chronic Injured Distal Tibiofibular Syndesmosis with Autogenous Tendon Graft: A Systematic Review.
Biomed Res Int. 2021 Feb 1;2021:3182745. doi: 10.1155/2021/3182745. eCollection 2021.
9
Evaluating success rate and comparing complications of operative techniques used to treat chronic syndesmosis injuries.
J Orthop. 2020 May 7;22:225-230. doi: 10.1016/j.jor.2020.04.011. eCollection 2020 Nov-Dec.
10
Diagnostic Accuracy of Radiologic Methods for Ankle Syndesmosis Injury: A Systematic Review and Meta-Analysis.
J Clin Med. 2019 Jul 3;8(7):968. doi: 10.3390/jcm8070968.
本文引用的文献
1
Tibiofibular syndesmotic ligaments: MR arthrography in cadavers with anatomic correlation.
Radiology. 2010 Mar;254(3):827-36. doi: 10.1148/radiol.09090624.
2
Comparison of two intraoperative assessment methods for injuries to the ankle syndesmosis. A cadaveric study.
J Bone Joint Surg Am. 2009 Nov;91(11):2646-52. doi: 10.2106/JBJS.G.01537.
3
Delayed operative treatment of syndesmotic instability. Current concepts review.
Injury. 2009 Nov;40(11):1137-42. doi: 10.1016/j.injury.2009.03.011. Epub 2009 Jun 12.
4
Distal tibiofibular syndesmosis reconstruction using a free hamstring autograft.
Foot Ankle Int. 2009 Jun;30(6):506-11. doi: 10.3113/FAI.2009.0506.
5
Arthroscopy-assisted repair of latent syndesmotic instability of the ankle.
Arthroscopy. 2008 Aug;24(8):868-74. doi: 10.1016/j.arthro.2008.02.013. Epub 2008 Apr 21.
6
Injuries to the tibiofibular syndesmosis.
J Bone Joint Surg Br. 2008 Apr;90(4):405-10. doi: 10.1302/0301-620X.90B4.19750.
7
Current concepts review: operative techniques for stabilizing the distal tibiofibular syndesmosis.
Foot Ankle Int. 2007 Dec;28(12):1302-8. doi: 10.3113/FAI.2007.1302.
8
The use of gravity or manual-stress radiographs in the assessment of supination-external rotation fractures of the ankle.
J Bone Joint Surg Br. 2007 Aug;89(8):1055-9. doi: 10.1302/0301-620X.89B8.19134.
9
Biomechanical comparison of the interosseous tibiofibular ligament and the anterior tibiofibular ligament.
Foot Ankle Int. 2007 May;28(5):602-4. doi: 10.3113/FAI.2007.0602.
10
Ankle syndesmotic injury.
J Am Acad Orthop Surg. 2007 Jun;15(6):330-9. doi: 10.5435/00124635-200706000-00002.
Zotero 插件