Syndesmosis Sprains of the Ankle: A Systematic Review

  title={Syndesmosis Sprains of the Ankle: A Systematic Review},
  author={Morgan H. Jones and Annunziato S Amendola},
  journal={Clinical Orthopaedics and Related Research},
Syndesmosis sprains have received increasing recognition during recent years because of a heightened awareness of the mechanism, symptoms, and signs of injury. [] Key Method We identified six articles that evaluated treatment of syndesmosis injuries. All studies were case series including prospectively collected data of young, active patients with a minimum of 6 months followup and represented the highest level of evidence available.
Isolated syndesmosis ankle injury.
The authors performed their preferred operative stabilization technique for isolated syndesmosis injury-arthroscopic debridement of the ankle with syndesmotic stabilization with a Syndesmotic screw-in 4 patients and three of 4 patients showed good improvement of general subjective ankle symptoms and subjective ankle instability rating and a high Sports Ankle Rating System score after 1 year.
Incidence, ultrasound evaluation and outcome of syndesmotic injuries in patients with ankle sprain
This study shows that grade of ankle sprain does not determine long term outcome and Ultrasound is a good diagnostic tool to evaluate and grade the Syndesmotic injury.
Return to Sport After Ankle Syndesmotic Injury: A Systematic Review
A high rate of return to any as well as preinjury level of sport after ankle syndesmotic injury in both operative and nonoperative treatment groups is found.
Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI
Clinical examination was insufficient to detect syndesmotic injuries in acute ankle sprains, and MRI scanning should be recommended in patients with ongoing pain at rest following ankle Sprains.
Syndesmotic Injuries in Athletes
The anatomy of the biomechanics of the distal tibiofibular ligament is described, followed by an assessment of the clinical evaluation and diagnosis of syndesmotic ligament injuries.
Syndesmosis and deltoid ligament injuries in the athlete
Management of syndesmotic injury is determined by the grade and associated injury around the ankle, and athletes may return to training and play sooner if the syndesmosis is surgically stabilized.
Syndesmosis injuries in the pediatric and adolescent athlete: an analysis of risk factors related to operative intervention
Operative ankle syndesmotic injuries in the paediatric population are often associated with a closed distal tibial physis and concomitant fibular fracture.
High ankle sprains (syndesmotic) in athletes: diagnostic challenges and review of the literature.
The purpose of this paper is to review the literature as a means of elucidating any diagnostic radiographic findings, including MR imaging, with the anticipation this review may lead to further research directions on this topic.
Patterns and Implications of Early Syndesmotic Screw Failure in Rotational Ankle Fractures
Background: The purpose of this study was to identify characteristic patterns of syndesmotic screw (SS) failure, and any effects on clinical outcome. Methods: A retrospective study was performed
Syndesmotic Injuries in Athletes
There has been increased interest and research surrounding the treatment of high-grade syndesmotic injuries in athletes with a focus on early rehabilitation and surgical intervention in select patients.


Syndesmosis Sprains of the Ankle
A retrospective review of the clinical records and radiographs of 1344 ankle sprains occurring over a 41-month period at the United States Military Academy was performed. The incidence and severity
Prospective Evaluation of Syndesmotic Ankle Sprains without Diastasis *
Sixty consecutive collegiate athletes with “high” ankle symptoms were prospectively evaluated over a 3-year period in an effort to better define this debilitating ankle injury. All athletes included
Persistent Disability Associated with Ankle Sprains: A Prospective Examination of an Athletic Population
Syndesmosis sprains are more common than previously thought, and this confirms that syndesmosis Sprains are associated with prolonged disability.
Sprained ankle syndrome: prevalence and analysis of 639 acute injuries.
  • L. Fallat, D. Grimm, J. Saracco
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 1998
Ankle Syndesmosis Sprains in National Hockey League Players
Background Although syndesmosis sprains are less common in sports than lateral ankle sprains, they represent a significant source of morbidity. Several studies have described the increased recovery
The ankle ligaments: consideration of syndesmotic injury and implications for rehabilitation.
Special tests which enhance the recognition of DTFS injury, such as the external rotation stress test and the distal tibiofibular compression test, and a rehabilitation progression are presented are presented.
Syndesmotic ankle sprains
A prolonged recovery time for syndesmotic ankle sprains is clearly demonstrated and doctors and trainers who are aware of this injury can differentially diagnose these two types of sprains in the early postinjury period by the method described.
Ankle syndesmosis injuries.
Syndesmosis sprains of the ankle. The influence of heterotopic ossification
  • Am J Sports Med
  • 1992