Download PDF
Sportphysio 2022; 10(02): 66-72
DOI: 10.1055/a-1777-1576
Focus
Vertiefung

Syndesmosenverletzungen – operative und konservative Therapie

Markus Walther
,
Hubert Hörterer
,
Oliver Gottschalk
› Further Information
    Permissions and Reprints

Wird eine Syndesmosenverletzung nicht adäquat behandelt, droht Sportlern das Ende der Karriere. Daher sollten auch Physiotherapeuten und andere Betreuer wissen, welche Behandlungsmöglichkeiten es gibt. Eine Übersicht.



Publication History

Article published online:
03 May 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Allahabadi S, Amendola A, Lau BC. Optimizing Return to Play for common and controversial foot and ankle sports injuries. JBJS Rev 2020; 8: e20 00067
    CrossrefPubMedGoogle Scholar
  • 2 Chissell HR, Jones J. The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J Bone Joint Surg Br 1995; 77: 435-438
    CrossrefPubMedGoogle Scholar
  • 3 Clanton TO, Williams BT, Backus JD. et al. Biomechanical analysis of the individual ligament contributions to syndesmotic stability. Foot Ankle Int 2017; 38: 66-75
    CrossrefPubMedGoogle Scholar
  • 4 Cosgrove CT, Putnam SM, Cherney SM. et al. Medial clamp tine positioning affects ankle syndesmosis malreduction. J Orthop Trauma 2017; 31: 440-446
    CrossrefPubMedGoogle Scholar
  • 5 D’Hooghe P, Grassi A, Alkhelaifi K. et al. Return to play after surgery for isolated unstable syndesmotic ankle injuries (West Point grade IIB and III) in 110 male professional football players: A retrospective cohort study. Br J Sports Med 2020; 54: 1168-1173
    CrossrefPubMedGoogle Scholar
  • 6 de-Las-Heras Romero J, Alvarez AML, Sanchez FM. et al. Management of syndesmotic injuries of the ankle. EFORT Open Rev 2017; 2: 403-409
    CrossrefPubMedGoogle Scholar
  • 7 Doll J, Waizenegger S, Bruckner T. et al. Differences in gait analysis and clinical outcome after TightRope(R) or screw fixation in acute syndesmosis rupture: Study protocol for a prospective randomized pilot study. Trials 2020; 21: 606
    CrossrefPubMedGoogle Scholar
  • 8 Doughtie M. Syndesmotic ankle sprains in football: A survey of national football league athletic trainers. J Athl Train 1999; 34: 15-18
    PubMedGoogle Scholar
  • 9 Fallat L, Grimm DJ, Saracco JA. Sprained ankle syndrome: Prevalence and analysis of 639 acute injuries. J Foot Ankle Surg 1998; 37: 280-285
    CrossrefPubMedGoogle Scholar
  • 10 Fritschy D. An unusual ankle injury in top skiers. Am J Sports Med 1989; 17: 282-285 discussion 285–286
    CrossrefPubMedGoogle Scholar
  • 11 Gardner MJ, Demetrakopoulos D, Briggs SM. et al. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 2006; 27: 788-792
    CrossrefPubMedGoogle Scholar
  • 12 Gerber JP, Williams GN, Scoville CR. et al. Persistent disability associated with ankle sprains: A prospective examination of an athletic population. Foot Ankle Int 1998; 19: 653-660
    CrossrefPubMedGoogle Scholar
  • 13 Gonzalez T, Egan J, Ghorbanhoseini M. et al. Overtightening of the syndesmosis revisited and the effect of syndesmotic malreduction on ankle dorsiflexion. Injury 2017; 48: 1253-1257
    CrossrefPubMedGoogle Scholar
  • 14 Graff P, Alanazi S, Alazzawi S. et al. Screw fixation for syndesmotic injury is stronger and provides more contact area of the joint surface than TightRope(R): A biomechanical study. Technol Health Care 2020; 28: 533-539
    CrossrefPubMedGoogle Scholar
  • 15 Grambart ST, Prusa RD, Ternent KM. Revision of the chronic syndesmotic Injury. Clin Podiatr Med Surg 2020; 37: 577-592
    CrossrefPubMedGoogle Scholar
  • 16 Grass R, Rammelt S, Biewener A. et al. Peroneus longus ligamentoplasty for chronic instability of the distal tibiofibular syndesmosis. Foot Ankle Int 2003; 24: 392-397
    CrossrefPubMedGoogle Scholar
  • 17 Honeycutt MW, Riehl JT. Effect of a dynamic fixation construct on syndesmosis reduction: A cadaveric study. J Orthop Trauma 2019; 33: 460-464
    CrossrefPubMedGoogle Scholar
  • 18 Hunt KJ, Goeb Y, Behn AW. et al. Ankle joint contact loads and displacement with progressive syndesmotic injury. Foot Ankle Int 2015; 36: 1095-1103
    CrossrefPubMedGoogle Scholar
  • 19 Kapadia BH, Sabarese MJ, Chatterjee D. et al. Evaluating success rate and comparing complications of operative techniques used to treat chronic syndesmosis injuries. J Orthop 2020; 22: 225-230
    CrossrefPubMedGoogle Scholar
  • 20 Knapik DM, Trem A, Sheehan J. et al. Conservative management for stable high ankle injuries in professional football players. Sports Health 2018; 10: 80-84
    CrossrefPubMedGoogle Scholar
  • 21 Latham AJ, Goodwin PC, Stirling B. et al. Ankle syndesmosis repair and rehabilitation in professional rugby league players: A case series report. BMJ Open Sport Exerc Med 2017; 3: e000175
    CrossrefPubMedGoogle Scholar
  • 22 Laver L, Carmont MR, McConkey MO. et al. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: A randomized control trial. Knee Surg Sports Traumatol Arthrosc 2015; 23: 3383-3392
    CrossrefPubMedGoogle Scholar
  • 23 Lee JS, Curnutte B, Pan K. et al. Biomechanical comparison of suture-button, bioabsorbable screw, and metal screw for ankle syndesmotic repair: A meta-analysis. Foot Ankle Surg 2021; 27: 117-122
    CrossrefPubMedGoogle Scholar
  • 24 Lehtola R, Leskela HV, Flinkkila T. et al. Suture button versus syndesmosis screw fixation in pronation-external rotation ankle fractures: A minimum 6-year follow-up of a randomised controlled trial. Injury. 2021 DOI: 10.1016/j.injury.2021.06.025
    Google Scholar
  • 25 Lui TH. Endoscopic distal tibiofibular syndesmosis arthrodesis. Arthrosc Tech 2016; 5: e419-424
    CrossrefPubMedGoogle Scholar
  • 26 McKenzie AC, Hesselholt KE, Larsen MS. et al. A systematic review and meta-analysis on treatment of ankle fractures with syndesmotic rupture: Suture-Button fixation versus cortical screw fixation. J Foot Ankle Surg 2019; 58: 946-953
    CrossrefPubMedGoogle Scholar
  • 27 Miller BS, Downie BK, Johnson PD. et al. Time to return to play after high ankle sprains in collegiate football players: A prediction model. Sports Health 2012; 4: 504-509
    CrossrefPubMedGoogle Scholar
  • 28 Mollon B, Wasserstein D, Murphy GM. et al. High ankle sprains in professional ice hockey players: Prognosis and correlation between magnetic resonance imaging patterns of Injury and return to play. Orthop J Sports Med 2019; 7: 2325967119871578
    Google Scholar
  • 29 Nussbaum ED, Hosea TM, Sieler SD. et al. Prospective evaluation of syndesmotic ankle sprains without diastasis. Am J Sports Med 2001; 29: 31-35
    CrossrefPubMedGoogle Scholar
  • 30 Parlamas G, Hannon CP, Murawski CD. et al. Treatment of chronic syndesmotic injury: A systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 2013; 21: 1931-1939
    CrossrefPubMedGoogle Scholar
  • 31 Phisitkul P, Ebinger T, Goetz J. et al. Forceps reduction of the syndesmosis in rotational ankle fractures: A cadaveric study. J Bone Joint Surg Am 2012; 94: 2256-2261
    CrossrefPubMedGoogle Scholar
  • 32 Rammelt S, Boszczyk A. Chronic syndesmotic injuries: Arthrodesis versus reconstruction. Foot Ankle Clin 2020; 25: 631-652
    CrossrefPubMedGoogle Scholar
  • 33 Rammelt S, Manke E. Syndesmosis injuries at the ankle. Unfallchirurg 2018; 121: 693-703
    CrossrefPubMedGoogle Scholar
  • 34 Rammelt S, Obruba P. An update on the evaluation and treatment of syndesmotic injuries. Eur J Trauma Emerg Surg 2015; 41: 601-614
    CrossrefPubMedGoogle Scholar
  • 35 Rammelt S, Zwipp H, Grass R. Injuries to the distal tibiofibular syndesmosis: An evidence-based approach to acute and chronic lesions. Foot Ankle Clin 2008; 13: 611-633 vii–viii
    CrossrefPubMedGoogle Scholar
  • 36 Sagi HC, Shah AR, Sanders RW. The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up. J Orthop Trauma 2012; 26: 439-443
    CrossrefPubMedGoogle Scholar
  • 37 Samra DJ, Sman AD, Rae K. et al. Effectiveness of a single platelet-rich plasma injection to promote recovery in rugby players with ankle syndesmosis injury. BMJ Open Sport Exerc Med 2015; 1: e000033
    CrossrefPubMedGoogle Scholar
  • 38 Sanders D, Schneider P, Taylor M. et al. Improved reduction of the tibiofibular syndesmosis with TightRope compared with screw fixation: Results of a randomized controlled study. J Orthop Trauma 2019; 33: 531-537
    CrossrefPubMedGoogle Scholar
  • 39 Schepers T, van Zuuren WJ, van den Bekerom MP. et al. The management of acute distal tibio-fibular syndesmotic injuries: Results of a nationwide survey. Injury 2012; 43: 1718-1723
    CrossrefPubMedGoogle Scholar
  • 40 Stenquist DS, Kwon JY. Strategies to avoid syndesmosis malreduction in ankle fractures. Foot Ankle Clin 2020; 25: 613-630
    CrossrefPubMedGoogle Scholar
  • 41 Sun Z, Li T, Wang Y. et al. Clinical outcome of distal tibiofibular arthrodesis with plate fixation for the treatment of chronic frank syndesmosis instability. Injury 2020; 51: 2981-2985
    CrossrefPubMedGoogle Scholar
  • 42 Taylor DC, Englehardt DL, Bassett 3 rd FH. Syndesmosis sprains of the ankle. The influence of heterotopic ossification. Am J Sports Med 1992; 20: 146-150
    CrossrefPubMedGoogle Scholar
  • 43 Thordarson DB, Motamed S, Hedman T. et al. The effect of fibular malreduction on contact pressures in an ankle fracture malunion model. J Bone Joint Surg Am 1997; 79: 1809-1815
    CrossrefPubMedGoogle Scholar
  • 44 van der Eng DM, Schep NW, Schepers T. Bioabsorbable versus metallic screw fixation for tibiofibular syndesmotic ruptures: A Meta-Analysis. J Foot Ankle Surg 2015; 54: 657-662
    CrossrefPubMedGoogle Scholar
  • 45 van Dijk CN, Longo UG, Loppini M. et al. Conservative and surgical management of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc 2016; 24: 1217-1227
    CrossrefPubMedGoogle Scholar
  • 46 Vasarhelyi A, Lubitz J, Gierer P. et al. Detection of fibular torsional deformities after surgery for ankle fractures with a novel CT method. Foot Ankle Int 2006; 27: 1115-1121
    CrossrefPubMedGoogle Scholar
  • 47 Vopat ML, Vopat BG, Lubberts B. et al. Current trends in the diagnosis and management of syndesmotic injury. Curr Rev Musculoskelet Med 2017; 10: 94-103
    CrossrefPubMedGoogle Scholar
  • 48 Walley KC, Hofmann KJ, Velasco BT. et al. Removal of hardware after syndesmotic screw fixation: A systematic literature review. Foot Ankle Spec 2017; 10: 252-257
    CrossrefPubMedGoogle Scholar
  • 49 Willmott HJ, Singh B, David LA. Outcome and complications of treatment of ankle diastasis with tightrope fixation. Injury 2009; 40: 1204-1206
    CrossrefPubMedGoogle Scholar
  • 50 Yu GS, Lin YB, Xiong GS. et al. Diagnosis and treatment of ankle syndesmosis injuries with associated interosseous membrane injury: A current concept review. Int Orthop 2019; 43: 2539-2547
    CrossrefPubMedGoogle Scholar