How do you treat a syndesmosis sprain?
With a syndesmosis sprain, the first level of treatments are non-surgical, including taking anti-inflammatory medications. These can help tone down the pain, while also reducing some of the inflammation and swelling. You may also need to get a massage to help with the scar tissue and tightened muscles from the injury.
Does syndesmosis injury require surgery?
Surgery of the syndesmosis most often is needed after a traumatic disruption. The goal of surgery is to properly align and stabilize the joint so the ligaments can heal in the correct position.
How do you test for syndesmosis injury?
To perform the squeeze test, place a heel of each hand just proximal to the midpoint of the calf, and compress the tibia and fibula by squeezing in an anteromedial to posterolateral direction. A positive test is marked by reproduction of pain in the distal syndesmosis, just above the ankle joint.
What is Atfl?
The anterior talofibular ligament is a ligament in the ankle. It passes from the anterior margin of the fibular malleolus, anteriorly and laterally, to the talus bone, in front of its lateral articular facet.
What is a Syndesmotic sprain?
A syndesmotic, or ‘high’ ankle sprain is one that involves the ligaments binding the distal tibia and fibula at the Distal Tibiofibular Syndesmosis. Injuries can occur with any ankle motion, but the most common motions are extreme external rotation or dorsiflexion of the Talus.
What is a syndesmosis?
A syndesmosis is defined as a fibrous joint in which two adjacent bones are linked by a strong membrane or ligaments. This definition also applies for the distal tibiofibular syndesmosis, which is a syndesmotic joint formed by two bones and four ligaments.
What ligaments can be injured in a syndesmotic sprain?
A syndesmotic sprain or high ankle sprain is an injury to the distal tibiofibular syndesmosis with possible disruption of the distal tibiofibular ligaments and interosseous membrane.
What is Syndesmotic pain?
What is the CF ligament?
The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus.
Where does syndesmotic injury occur in the ankle?
In some cases, the ligament on the inside of the ankle (the deltoid) will be torn. In this event, the energy of the injury (indicated on the diagram with blue arrows) passes from the deltoid, through the high ankle ligaments (syndesmosis), and up the leg through the fibula. This causes the fibula to be broken at a very high level.
How to tell if you have a syndesmotic injury?
Tenderness of the deltoid ligament may also be noted. In patients with complaints of instability, physical examination may denote a normal anterior drawer and inversion stress test, increasing suspicion of a syndesmotic injury over a lateral ankle sprain. In addition, the proximal fibula can be palpated to assess for a Maisonneuve-type injury.
Which is an injury to the syndesmotic com-plex?
The patientoftenpoorlyrecallsthemechanism,whichisincontrasttotheclassicinversion anklesprain.Themostcommonmechanisms,individuallyandparticularlyincombina- tion, are external rotation and hyperdorsiflexion.16Injuries to the syndesmotic com- plex can occur in isolation or with associated fractures.
What are acute and chronic injuries to the syndesmosis?
Acute and Chronic Injuries to the Syndesmosis 3 Isolated Syndesmotic Injuries Clinical evaluation In the absence of fracture, patients with syndesmotic injuries typically complain of persistent pain on weight bearing or an unusually long period of recovery after the initial injury.