The Role of Deltoid Ligament Repair in Ankle Fractures With Syndesmotic Instability: A Systematic Review

Wang, Julian; Stride, Devon; Horner, Nolan S.; Petrisor, Bradley; Johal, Herman; Khan, Moin; Alolabi, Bashar

doi:10.1053/j.jfas.2020.02.014

Cited by 21 publications

(22 citation statements)

References 37 publications

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“…5,6 To analyze the fracture based on the mechanism of ankle injury, it is necessary to clarify the relationship between ligament injury and fracture: ligament injury is equivalent to fracture, and medial ligament (triangular ligament) injury is equivalent to medial ankle fracture. 7,8 In this study, the traditional X-ray analysis and the injury mechanism-based ankle fracture X-ray analysis methods were used to analyze the X-ray image data of the ankle fracture.…”

Section: Introductionmentioning

confidence: 99%

Application of X-ray image measurement in the early diagnosis of sports injury of ankle ligament

Meng

Tong

Han³

2021

Pak J Med Sci

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Objectives: To study the value of X-ray analysis method of ankle fracture based on injury mechanism to improve the imaging diagnosis level of ankle fracture. Methods: This study was conducted from January 2016 to December 2019. It included 105 cases of fractures caused by sprained ankle joints. Their age was between 21-81 years with an average of 49.5 years, The traditional X-ray analysis method (Group-A) and the injury mechanism-based ankle fracture X-ray analysis method (Group-B) were used to analyze X-ray image data. Group-B also performed Weber classification and Lauge-Hansen classification on cases. Installment. Results: Of the 105 patients with ankle fractures, 97 patients in Group-B were able to make Lauge-Hansen classification. Of these 97 ankle fractures, 137 were found in Group-A, and 158 were found in Group-B. The wrong diagnosis of fracture in Group-A was 18%, and the wrong diagnosis of fracture in Group-B was 0.5%. There was a statistically significant difference between the two groups (P <0.05). Conclusion: The X-ray analysis method of ankle fractures based on injury mechanism can effectively improve the detection rate of hidden ankle fractures and high fibular fractures, and reduce the missed diagnosis, which is superior to the traditional X-ray analysis methods. At the same time, Weber classification, Lauge-Hansen classification and staging can be made for most cases, which is conducive to guiding clinical treatment. doi: https://doi.org/10.12669/pjms.37.6-WIT.4841 How to cite this:Meng S, Tong W, Han S. Application of X-ray image measurement in the early diagnosis of sports injury of ankle ligament. Pak J Med Sci. 2021;37(6):1580-1584. doi: https://doi.org/10.12669/pjms.37.6-WIT.4841 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Introductionmentioning

confidence: 99%

Application of X-ray image measurement in the early diagnosis of sports injury of ankle ligament

Meng

Tong

Han³

2021

Pak J Med Sci

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“…Ankle fractures are one of the most common orthopaedic injuries. 1 The surgical principle is to restore anatomy and stability of the ankle mortise. Repositioning of the talus under the tibia with normalization of the medial clear space (MCS) is mandatory for a good outcome.…”

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confidence: 99%

“…The deltoid ligament is frequently ruptured in ankle fractures. 1 , 3 , 4 , 5 The ligament plays an important role in maintaining concentric talus reduction within the ankle mortise and stabilizes the ankle joint against eversion, external rotation, and plantar flexion forces. 1 , 6 , 7 , 8 However, there is no consensus on the optimal treatment of ruptured deltoid ligament in bimalleolar equivalent ankle fractures, and there is no evidence proving superiority of suturing the deltoid ligament in all ruptures.…”

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confidence: 99%

“… 1 , 3 , 4 , 5 The ligament plays an important role in maintaining concentric talus reduction within the ankle mortise and stabilizes the ankle joint against eversion, external rotation, and plantar flexion forces. 1 , 6 , 7 , 8 However, there is no consensus on the optimal treatment of ruptured deltoid ligament in bimalleolar equivalent ankle fractures, and there is no evidence proving superiority of suturing the deltoid ligament in all ruptures. 1 , 2 , 4 , 5 , 6 , 7 , 9 Deltoid ligament repair may be indicated in bimalleolar equivalent fractures with extensive capsuloligamentous damage, combined syndesmotic and deltoid insufficiency, or multiligamentous/multidirectional instability, especially in heavier patients with greater mechanical requirements.…”

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confidence: 99%

“… 1 , 6 , 7 , 8 However, there is no consensus on the optimal treatment of ruptured deltoid ligament in bimalleolar equivalent ankle fractures, and there is no evidence proving superiority of suturing the deltoid ligament in all ruptures. 1 , 2 , 4 , 5 , 6 , 7 , 9 Deltoid ligament repair may be indicated in bimalleolar equivalent fractures with extensive capsuloligamentous damage, combined syndesmotic and deltoid insufficiency, or multiligamentous/multidirectional instability, especially in heavier patients with greater mechanical requirements. 6 , 7 This can be manifested as persistent external rotation or valgus instability after anatomic fibula fixation.…”

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confidence: 99%

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