Escola Paulista de Medicina - Universidade Federal de São Paulo, Brazil; University of Iowa, Carver College of Medicine, USA.
Universidade de Sao Paulo, R. Dr. Ovídio Pires de Campos, 333, 3rd floor, 05403-010, São Paulo, Brazil.
Foot Ankle Clin. 2023 Jun;28(2):369-403. doi: 10.1016/j.fcl.2023.01.006. Epub 2023 Mar 10.
Probably one of the most controversial subjects in the orthopedic field is the distal tibiofibular articulation. Even though its most primary knowledge can be a matter of enormous debate, it is in the diagnosis and treatment most of the disagreements reign. Distinguishing between injury and instability remains challenging as well as an optimal clinical decision regarding surgical intervention. The last years presented technology and that was able to bring body to an already well-developed scientifical rationale. In this review article, we aim to demonstrate the current data behind syndesmotic instability in the ligament scenario, whereas using few fracture concepts.
可能在矫形外科领域最具争议的主题之一是下胫腓联合。尽管它的最主要的知识可能是一个巨大的争论问题，但在诊断和治疗中大多数分歧依然存在。区分损伤和不稳定仍然具有挑战性，以及关于手术干预的最佳临床决策。近年来出现了技术，并且能够将身体带到已经非常发达的科学基础。在这篇综述文章中，我们旨在展示在韧带情况下下胫腓联合不稳定的当前数据，同时使用一些骨折概念。
