Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, CA, 94063, USA,
Curr Rev Musculoskelet Med. 2013 Dec;6(4):304-12. doi: 10.1007/s12178-013-9184-9.
Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to the body of knowledge pertaining to injury mechanics and treatment outcomes, but there remain a number of controversies regarding diagnostic tests, implants, techniques, and postoperative protocols. Use of the novel suture button device has increased in recent years and shows some promise in clinical and cadaveric studies. This article contains a review of syndesmosis injuries, including anatomy and biomechanics, diagnosis, classification, and treatment options.
下胫腓联合的创伤性损伤通常是由高能踝关节损伤引起的。它们可以作为孤立的韧带损伤发生，也可以与踝关节骨折有关。下胫腓联合损伤给肌肉骨骼医生的诊断和治疗带来了挑战。最近的文献在损伤机制和治疗结果方面增加了相当多的知识，但在诊断测试、植入物、技术和术后方案方面仍存在一些争议。新型缝合纽扣装置近年来的使用有所增加，在临床和尸体研究中显示出一定的前景。本文综述了下胫腓联合损伤，包括解剖学和生物力学、诊断、分类和治疗选择。
