What is tibiofibular diastasis?

Key words: ankle, ankle dislocation, ankle instability, syndesmosis, tibiofibular diastasis. Diastasis is an abnormal separation of two body parts normally joined together. This term, when applied to the ankle joint, implies separation of the normal distal tibiofibular relationship.

How long does it take for a syndesmosis injury to heal?

Evidence suggests that syndesmosis sprains typically require 6 to 8 weeks for recovery, but this is variable. Chronic pain, instability, and functional limitations are common after syndesmosis sprains.

Can you walk with a syndesmosis injury?

What to expect during recovery. Following surgery, you may need a walking boot or crutches while you heal. Whether you need surgery or not, severe syndesmotic sprains are usually followed by physical therapy. The focus is on healing and regaining full range of motion and normal strength.

Does a syndesmosis injury require surgery?

Syndesmosis injuries that cause ankle instability may require surgery. Some doctors prefer to try nonsurgical treatment first. However, if at any point during treatment an X-ray shows a diastasis, surgery will probably be recommended.

What is tibiofibular syndesmosis?

The tibiofibular syndesmosis is a fibrous joint essential for ankle stability, whence the classical comparison with a mortise. Syndesmosis lesions are quite frequent in ankle trauma. This is a key element in ankle stability and lesions may cause pain or instability and, in the longer term, osteoarthritis.

What is a syndesmosis injury?

A syndesmotic ankle sprain is an injury to one or more of the ligaments comprising the distal tibiofibular syndesmosis; it is often referred to as a “high ankle sprain.” Compared with the more common lateral ankle sprain, the high ankle sprain causes pain more proximally, just above the ankle joint, and is associated …

How do you treat syndesmosis injury?

Acute instability of the syndesmosis must be treated surgically by placing a syndesmotic screw or a suture button. Sometimes AITFL repair is all that is needed.

What does syndesmosis feel like?

What does a syndesmosis injury feel like? A syndesmosis injury will present as pain through the lower leg, just above the ankles. It is a pain that does not settle with rest and can feel like a cramping sensation or dull ache. It tends to also get worse with exercise or sport.

How do you fix syndesmosis injury?

The syndesmosis cannot be simply repaired by suturing ligaments together, so instead, the two bones of the leg are stabilized together to allow the syndesmosis to heal in the proper alignment – either by using one or two screws that span the fibula and tibia completely (called syndesmosis screws), or alternatively, by …

How do you fix syndesmosis?

If the test is positive, the fibula is reduced into the incisura usually under fluoroscopic control without direct visualization, held with a large pointed reduction forceps, and fixed with a trans-syndesmotic position screw or suture-button device to restore stability for correct healing of the ruptured ligaments.

What causes tibiofibular syndesmosis?

Abstract. The tibiofibular syndesmosis is a fibrous joint essential for ankle stability, whence the classical comparison with a mortise. Syndesmosis lesions are quite frequent in ankle trauma. This is a key element in ankle stability and lesions may cause pain or instability and, in the longer term, osteoarthritis.

What does a syndesmosis injury feel like?

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