The Syndesmosis, Part II: Surgical Treatment Strategies.
Orthop Clin North Am
; 52(4): 417-432, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-34538352
ABSTRACT
Syndesmotic injuries in the setting of ankle fracture are critically important to diagnosis and treat to restore an anatomic tibiotalar relationship. Physical examination and clinical suspicion remain critically important for diagnosis. Ultrasound examination and weight-bearing computed tomography scans are evolving to help diagnosis more subtle injuries. Although flexible syndesmotic fixation may decrease malreduction rates, the benefits over rigid fixation is the subject of ongoing study. Anatomic reduction remains critical regardless of fixation choice. Routine removal of rigid syndesmotic hardware does not seem to offer substantial clinical improvement in pain or range of motion; however, broken hardware may cause irritation.
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Base de dados:
MEDLINE
Assunto principal:
Traumatismos do Tornozelo
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Fraturas do Tornozelo
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Instabilidade Articular
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Ligamentos Articulares
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Articulação do Tornozelo
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article