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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 3, 324-329.
doi: 10.1302/0301-620X.85B3.13174  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Diagnosis of a tear of the tibiofibular syndesmosis

THE ROLE OF ARTHROSCOPY OF THE ANKLE

M. Takao, MD, PhD, Assistant Professor1; M. Ochi, MD, PhD, Professor and Chairman2; K. Oae, MD, Orthopaedic Surgeon1; K. Naito, MD, PhD, Orthopaedic Surgeon1; and Y. Uchio, MD, PhD, Associated Professor1

1 Department of Orthopaedics, Shimane Medical University, 89-1, Enya, Izumo, Shimane 693-8501, Japan.
2 Department of Orthopaedic Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

Correspondence should be sent to Dr M. Takao.

In 52 patients we compared the accuracy of standard anteroposterior (AP) radiography, mortise radiography and MRI with arthroscopy of the ankle for the diagnosis of a tear of the tibiofibular syndesmosis. In comparison with arthroscopy, the sensitivity, specificity and accuracy were 44.1%, 100% and 63.5% for standard AP radiography and 58.3%, 100% and 71.2% for mortise radiography. For MRI they were 100%, 93.1% and 96.2% for a tear of the anterior inferior tibiofibular ligament and 100%, 100% and 100% for a tear of the posterior inferior tibiofibular ligament. Standard AP and mortise radiography did not always provide a correct diagnosis. MRI was useful although there were two-false positive cases. We suggest that arthroscopy of the ankle is indispensable for the accurate diagnosis of a tear of the tibiofibular syndesmosis.




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R. Dattani, S. Patnaik, A. Kantak, B. Srikanth, and T. P. Selvan
Injuries to the tibiofibular syndesmosis
J Bone Joint Surg Br, April 1, 2008; 90-B(4): 405 - 410.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General