Ankle Trauma
A 25-year-old footballer sustains an external rotation injury to his ankle during a tackle. He has ankle swelling, tenderness over the anterior syndesmosis and along the interosseous membrane, and a positive squeeze test. Radiographs show a fibular fracture at the level of the ankle joint (Weber B) with tibiofibular clear space of 7mm on the mortise view. Stress fluoroscopy confirms syndesmotic instability with lateral fibular translation. Regarding syndesmosis injuries:
Mark each as TRUE or FALSE
The syndesmosis complex includes the anterior inferior tibiofibular ligament (AITFL), posterior infe...
Clinical tests include: squeeze test (compression of tibia and fibula at mid-calf causes distal pain...
The PITFL is the weakest syndesmotic ligament; the AITFL is strongest; squeeze test causes proximal ...
Radiographic signs of syndesmotic injury include: tibiofibular clear space greater than 6mm on AP or...
Fixation options include syndesmotic screws (one or two 3.5-4.5mm screws through 3-4 cortices, place...
Answer the questions to see explanations
Click T (True) or F (False) for each option