Arthroscopic Stabilization for Chronic Latent Syndesmotic Instability

Abstract Subtle syndesmotic instability not evident on radiography can result in chronic ankle pain. The diagnosis is uncommon, and arthroscopic evaluation remains the gold standard for diagnosis. Definitive surgical management can be performed at the time of diagnosis. Patients with 2 to 4 mm of di...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2016-04, Vol.5 (2), p.e263-e268
Main Authors: Johnson, Zackary A., CPT, Ryan, Paul M., LTC, Anderson, Claude D., CPT
Format: Article
Language:English
Subjects:
Orthopedics
Technical Note
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Summary:Abstract Subtle syndesmotic instability not evident on radiography can result in chronic ankle pain. The diagnosis is uncommon, and arthroscopic evaluation remains the gold standard for diagnosis. Definitive surgical management can be performed at the time of diagnosis. Patients with 2 to 4 mm of diastasis of the syndesmosis or translation can be treated with debridement alone, and patients with 4 mm or more of diastasis or translation can be treated with arthroscopic debridement and reduction followed by percutaneous stabilization. Percutaneous stabilization is accomplished by a TightRope technique, which involves passing 1 or 2 suture buttons through all 4 cortices of the distal tibia and fibula. This technique is used in lieu of the traditional syndesmotic screw, which requires a subsequent operation for removal.
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2015.12.006