In this tutorial, we use our 3D anatomy model to show you the anatomy of the ankle and syndesmotic ligaments to explain how they can be injured, how they can be diagnosed and how to treat in practice.
References:
Morgan, Konopinski and Dunn (2014): https://www.aspetar.com/journal/viewarticle.aspx?id=204#.Y7_FfuzP3vU
⭐Clinical Physio Videos of Interest:
*What is Blood Flow Restriction Training?: https://youtu.be/kikDuHlEusA
*What is a Weber Ankle Fracture?: https://youtu.be/EvIodP2zlME
⭐For more sign up to Membership for more resources including access to:
*Sports Series: Ankle Ligament Injuries Webinar
*Common Ankle Conditions Q+A Webinar
*Differential Diagnosis of the Ankle Webinar
⭐ WEBSITE: https://www.clinicalphysio.com
➡️ Here you can find all our best content including Live Webinars, On-Demand Webinars, Courses and More!!
⭐ MEMBERSHIP: https://member.clinicalphysio.com/memberships/
➡️ Monthly subscription, cancel anytime, access to all our best content including Live Webinars, On-Demand Webinars, Courses and More!
⭐ INSTAGRAM: https://www.instagram.com/clinicalphysio
➡️ For Daily Quizzes and Superb Content!
⭐ SUBSCRIBE TO OUR YOUTUBE: https://www.youtube.com/channel/UC9ntcNPNxVo-32uE2Fv_u7A?sub_confirmation=1
Neymar suffered an ankle injury in Brazil’s win over Serbia and could miss 1-3 weeks according to Dr. Matt Provencher’s prognosis.
#FOXSoccer #WorldCup #Neymar
SUBSCRIBE to get the latest FOX Soccer content: http://foxs.pt/SubscribeFOXSOCCER
The all-new FOX Sports App, built for the modern sports fan: https://tinyurl.com/y4uouolb
►FOX Sports YouTube Channel: http://foxs.pt/SubscribeFOXSPORTS
►PBC ON FOX’s YouTube Channel: https://foxs.pt/SubscribePBCONFOX
►WWE ON FOX YouTube channel: https://foxs.pt/SubscribeWWEONFOX
►NASCAR ON FOX YouTube channel: https://foxs.pt/SubscribeNASCARonFOX
►CFB ON FOX YouTube channel: https://foxs.pt/SubscribeCFBonFOX
See more from FOX Soccer: https://foxs.pt/FOXSoccer
Like FOX Soccer on Facebook: https://foxs.pt/FOXSoccerFacebook
Follow FOX Soccer on Twitter: https://foxs.pt/FOXSoccerTwitter
Follow FOX Soccer on Instagram: https://foxs.pt/FOXSoccerInstagram
About FOX Soccer:
With exclusive highlights, original programming, and behind the scenes footage, FOX Soccer’s YouTube channel provides the sports content that fans are hungry for. FOX Soccer presents: Bundesliga, MLS, FIFA World Cup, FIFA Women’s World Cup, Copa America, Gold Cup and many more.
Brazil’s Neymar suffers ankle injury and could miss 1-3 weeks — Dr. Matt weighs in | FOX Soccer
Dr. Ebraheim’s educational animated video describes syndesmotic injury of the ankle.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
View my profile on Linkedin:
https://www.linkedin.com/in/nabilebraheim/
The syndesmosis gives stability to the ankle. It resists external rotation and axial and lateral displacement of the talus. Syndesmotic injuries of the ankle can be challenging in the diagnosis and in the treatment. It may not be easy to obtain and maintain reduction of the syndesmosis. Approximately 50% of the patients with operatively treated supination/external rotation type fracture of the ankle have syndesmotic injury on stress radiographs intraoperatively. Anatomic reduction of the syndesmosis is crucial for a good clinical outcome. Restoration of the normal fibular length and alignment, as well as obtaining and maintaining the alignment of the syndesmosis significantly impacts the functional outcome of the patient. Malreductions of the tibiofibular syndesmosis is not uncommon, and it can occur in up to 30% of the patients. Fluoroscopy, direct visualization and reduction of the syndesmosis could improve the anatomic reduction. Syndesmotic injuries are common. They are found in sports injuries (high ankle sprain) or in ankle fractures such as supination/ external rotation Type IV, pronation/ external rotation and pronation/ abduction injuries. It does not occur with supination/adduction injury. In this injury, you will see vertical fracture of the medial malleolus and the talus will go medially. Syndesmotic fixation probably is needed more with an ankle fracture that has a high fibular fracture and deltoid ligament injury, than an ankle fracture that has fracture of the fibula with medial malleolus fracture. The higher the fracture in the fibula, the more incidence of syndesmotic disruption and the need for syndesmotic fixation. In fact, the high fibular fracture plus deltoid injury equals syndesmotic screw fixation (means syndesmotic screw fixation is needed more). To diagnose a syndesmotic injury, you will find an unstable mortise; it can be evident or occult. You also need to suspect syndesmotic injury in proximal fibular fracture, which is called Maisonneuve fracture. Look at the disruption of the interosseous membrane and the syndesmosis. You do this by looking at the ankle and get an x-ray. You also suspect syndesmotic injury with sports injuries where there is a positive squeeze test (high ankle sprain). 20% of syndesmotic injuries of the ankle can be undetected on clinical examination. You should get stress-rays. You also suspect it in supination/external rotation Type II injury that has a fibular fracture. Provocative tests or the stress views are used in fibular fractures supination/external rotation Type II to see if it is really a Type II injury or if the injury is a Type IV and there is a hidden occult deltoid and syndesmotic injury. To do the provocative tests to diagnose an occult injury or syndesmotic injury of the ankle, do the gravity test or do the abduction/external rotation stress views or do weight bearing film. In weight bearing films, the dorsiflexion of the ankle can eliminate any errors on the medial side. Sometimes when the ankle is plantar flexed, the medial side looks widened, but it is not a true widening. Look for the tibiofibular clear space, look for the tibiofibular overlap, and look for the widened medial clear space (more than 5mm). The tibiofibular clear space will be greater than 5mm with syndesmotic injury. The tibiofibular clear space is probably the best radiologic measure because it is not affected by the position of the leg. If the syndesmosis is unstable, you need to fix it. It is the last part of ankle fracture fixation. You must have anatomic reduction of the syndesmosis. Before you fix the syndesmosis, you will need to evaluate the reduction of the syndesmosis. This can be done by direct inspection and reduction or by x-rays. You may need x-rays of the other side to assess accuracy of reduction of the syndesmosis intraoperatively. In surgery, you can test the stability of the syndesmosis. You can use the cotton test, use a bone hook, or pull on the fibula by levering it out by hemostat, by a freer or an elevator, or you can see the movement of the fibula. You can also do the abduction/external rotation test. You will do x-ray intraoperatively and check if the syndesmosis is stable or not and if it is reduced or not. So you want to restore the fibular length and see if the medial clear space and tibiofibular overlap are OK or not. Make sure that you do not have mortise instability, which is displacement of the talus out of the mortise. You want to restore the fibular length because this is key. The fibula must sit properly in the incisura. The morphology of the incisura is variable and that encourages malreduction. Video Rating: / 5
Dr. Jesse Morse discusses the ankle and shoulder injuries that Dalvin Cook suffered in Week 2.
__________________________________________________________________________
Video is sponsored by Artelon. Check out their website http://www.artelon.com
__________________________________________________________________________
TFD APP info:
– What it is? All the best sports follows on Twitter in one easy place plus injury reports, and videos for the 4 main sports
– Promo video: https://youtu.be/FsLqXEynz1o
– More info here: https://thefantasydoctorsapp.com/
– How to use tutorial video: https://youtu.be/kvVvNlTKcd0
– Notifications only are for new injuries.
– Available on the Apple and Google Play App Stores.
__________________________________________________________________________
NFL Injury Reports
– Bookmark them and check daily https://thefantasydoctors.com/nfl-injury-tracker/
– Also available on TFD App (white medical button, middle bottom)
– Detailed/Advanced version available on: https://tfdinjurydraftguide.com/
__________________________________________________________________________
Follow us on Social Media
– Twitter / IG / TikTok / Facebook
– @TheFantasyDRS @TFDNBA, @TFDNFL, @TFDMLB, @TFDNHL
– @DrJesseMorse @seleneparekhMD @amarpatelMD @Harjas_Grewal
___________________________________________________________________________
If you’re interested in advertising with us, send us an email at: TheFantasyDRS@gmail.com
0:00 Intro
0:0:58 What happened?
0:2:00 Good news! Video Rating: / 5
