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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 4, 405-410.
doi: 10.1302/0301-620X.90B4.19750  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Injuries to the tibiofibular syndesmosis

R. Dattani, BSc, MRCS, Orthopaedic Specialist Registrar1; S. Patnaik, MS, MRCS, Clinical Fellow (Orth)1; A. Kantak, MS, MRCS, Trust Registrar (Orth)1; B. Srikanth, FRCS, Trust Registrar (Orth)1; and T. P. Selvan, MSc(Orth), FRCSEd, FRCS(Orth), Consultant1

1 East Surrey Hospital, Canada Avenue, Redhill RH1 5RH, UK.

Correspondence should be sent to Mr R. Dattani; e-mail: rupendattani{at}hotmail.com

The management of injury to the distal tibiofibular syndesmosis remains controversial in the treatment of ankle fractures. Operative fixation usually involves the insertion of a metallic diastasis screw. There are a variety of options for the position and characterisation of the screw, the type of cortical fixation, and whether the screw should be removed prior to weight-bearing. This paper reviews the relevant anatomy, the clinical and radiological diagnosis and the mechanism of trauma and alternative methods of treatment for injuries to the syndesmosis.




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N. Hamid, B. J. Loeffler, W. Braddy, J. F. Kellam, B. E. Cohen, and M. J. Bosse
Outcome after fixation of ankle fractures with an injury to the syndesmosis: THE EFFECT OF THE SYNDESMOSIS SCREW
J Bone Joint Surg Br, August 1, 2009; 91-B(8): 1069 - 1073.
[Abstract] [Full Text] [PDF]

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Treatment of Injuries to the Syndesmosis
Julie Kohls-Gatzoulis, et al.
J Bone Joint Surg Br Online, 10 Jul 2008 [Full text]

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