Vascular Anatomy of the Tibiofibular Syndesmosis

McKeon, Kathleen E.; Wright, Rick W.; Johnson, Jeffrey E.; McCormick, Jeremy J.; Klein, Sandra E.

doi:10.2106/jbjs.k.00604

Cited by 46 publications

(55 citation statements)

References 17 publications

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“…Thus, this vascular supply would be at considerable risk of insult with a syndesmotic injury, which could explain Switaj et al why syndesmotic injuries are associated with slower healing rates than other ankle ligament injuries. 8 …”

Section: Blood Supplymentioning

confidence: 99%

Acute and Chronic Injuries to the Syndesmosis

Switaj

Mendoza

Kadakia

2015

Clinics in Sports Medicine

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Section: Blood Supplymentioning

confidence: 99%

Acute and Chronic Injuries to the Syndesmosis

Switaj

Mendoza

Kadakia

2015

Clinics in Sports Medicine

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“…20 Unlike the arthroscopic instrument used in ankle arthroscopy, the endoscope does not have distinct landmarks to identify the depth of the instrument within the syndesmosis. There is a risk of damage to the articular cartilage of the talar dome if the instruments enter the joint without being noticed.…”

Section: Distal Tibiofibular Syndesmosis Arthrodesismentioning

confidence: 99%

Endoscopic Distal Tibiofibular Syndesmosis Arthrodesis

Lui¹

2016

Arthroscopy Techniques

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Chronic distal tibiofibular syndesmosis disruption can be managed by endoscopic arthrodesis of the syndesmosis. This is performed through the proximal anterolateral and posterolateral portals. The scar tissue and bone block are resected to facilitate the subsequent reduction of the syndesmosis. The reduction of the syndesmosis can be guided either arthroscopically or endoscopically. The tibial and fibular surfaces of the tibiofibular overlap can be microfractured to facilitate subsequent fusion.

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“…The blood supply to the syndesmosis has been well documented [5]. There are three distinct anterior vascular patterns from the anterior tibial and peroneal arteries and two distinct posterior vascular patterns from the peroneal and posterior tibial arteries.…”

Section: Anatomy Of the Syndesmosismentioning

confidence: 99%

“…These patterns vary by individual and can even differ side to side within one individual. The perforating branch of the peroneal artery, an important blood supply to the anterior syndesmosis, is located about 3 cm above the joint line and is closely associated with the IOL, making it vulnerable to injury during syndesomotic disruption and surgical treatment [5].…”

Section: Anatomy Of the Syndesmosismentioning

confidence: 99%

Syndesmosis injuries

Hunt

2013

Curr Rev Musculoskelet Med

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Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to the body of knowledge pertaining to injury mechanics and treatment outcomes, but there remain a number of controversies regarding diagnostic tests, implants, techniques, and postoperative protocols. Use of the novel suture button device has increased in recent years and shows some promise in clinical and cadaveric studies. This article contains a review of syndesmosis injuries, including anatomy and biomechanics, diagnosis, classification, and treatment options.

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Vascular Anatomy of the Tibiofibular Syndesmosis

Cited by 46 publications

References 17 publications

Acute and Chronic Injuries to the Syndesmosis

Acute and Chronic Injuries to the Syndesmosis

Endoscopic Distal Tibiofibular Syndesmosis Arthrodesis

Syndesmosis injuries

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