The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2026
Stable syndesmosis after conservative and operative treatment of isolated grade II high ankle sprains with more than two years follow-up; a retrospective case-control study with bilateral external torque CT.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Beeler Silvan, Furrer Pascal Raffael, Comolli Lukas, Calek Anna-Katharina, Sutter Reto, Viehöfer Arnd Fredrik, Wirth Stephan H
Аннотация
BACKGROUND: Current literature lacks consensus on managing latent unstable isolated syndesmotic injuries. Stability is considered a prerequisite for a good clinical outcome. But so far, it is unknown how stable isolated syndesmotic lesions heal after conservative and surgical treatment.
PURPOSE: The purpose of this study was to retrospectively analyze patients with isolated Grade II syndesmotic lesions according to syndesmotic stability, structural changes and clinical outcome. And whether there is a difference between conservative and surgical treatment.
STUDY DESIGN: Retrospective case-control study METHODS: A retrospective analysis of 20 patients (10 conservatively treated, 10 surgically treated) with isolated syndesmotic lesions was conducted, with a minimum 2-year follow-up. Evaluation included bilateral external torque CT for syndesmotic stability, MRI for ligament healing structural changes, and clinical examination with foot-specific patient-reported outcome measures (PROMs).
RESULTS: Scarred syndesmosis demonstrated stability in external rotation, with non-significant changes compared to the healthy contralateral side: anterior distance (AD): 0.4 mm ±1.2 (p value 0.718), posterior distance (PD): -0.1 mm ±1.3 (p value 0.709), tibiofibular clear space (TCS): 0.3 mm ±0.8 (p value 0.321), external rotation (ER): 1.8 ° ±2.9 (p value 0.684). No statistically significant differences were observed between conservative and operative treatments regarding syndesmotic stability, structural changes, or clinical outcomes.
CONCLUSION: Conservative and operative treatments for isolated Grade II syndesmotic lesions achieved comparable results in syndesmotic stability and healing.
PURPOSE: The purpose of this study was to retrospectively analyze patients with isolated Grade II syndesmotic lesions according to syndesmotic stability, structural changes and clinical outcome. And whether there is a difference between conservative and surgical treatment.
STUDY DESIGN: Retrospective case-control study METHODS: A retrospective analysis of 20 patients (10 conservatively treated, 10 surgically treated) with isolated syndesmotic lesions was conducted, with a minimum 2-year follow-up. Evaluation included bilateral external torque CT for syndesmotic stability, MRI for ligament healing structural changes, and clinical examination with foot-specific patient-reported outcome measures (PROMs).
RESULTS: Scarred syndesmosis demonstrated stability in external rotation, with non-significant changes compared to the healthy contralateral side: anterior distance (AD): 0.4 mm ±1.2 (p value 0.718), posterior distance (PD): -0.1 mm ±1.3 (p value 0.709), tibiofibular clear space (TCS): 0.3 mm ±0.8 (p value 0.321), external rotation (ER): 1.8 ° ±2.9 (p value 0.684). No statistically significant differences were observed between conservative and operative treatments regarding syndesmotic stability, structural changes, or clinical outcomes.
CONCLUSION: Conservative and operative treatments for isolated Grade II syndesmotic lesions achieved comparable results in syndesmotic stability and healing.