AOSSM 2022 Annual Meeting Recordings - no CME-Syndesmosis Sprain Decision Making and Treatment Options

Video Transcription

Video Summary

This video discusses syndesmotic injury in athletes. The speaker highlights that while this type of injury is relatively uncommon in the general population, it is more frequent in athletes, particularly those who play sports like football, lacrosse, and hockey. The speaker explains that syndesmotic injury can occur when there is an excessive interaction between a shoe and a surface, leading to external rotation and potential damage to the ankle and medial knee ligaments. The ligamentous complex involved in this injury consists of four main parts, with the anterior inferior tibiofibular ligament being the most commonly discussed. The speaker emphasizes the importance of understanding the various components and characteristics of the syndesmosis to properly diagnose and manage the injury. Various diagnostic tests, such as the squeeze test and external rotation stress test, are mentioned, along with imaging techniques like X-rays, CT scans, and MRIs. Treatment options are discussed, including immobilization, taping, and surgical intervention using techniques like suture button fixation and buttress plate stabilization. The speaker emphasizes the need to consider the entire syndesmotic complex and not just isolated structures when determining the appropriate treatment strategy. A case example is provided to illustrate the diagnostic process and potential surgical intervention. Overall, the video emphasizes the importance of accurate diagnosis and appropriate management of syndesmotic injuries in athletes.

Asset Caption

Kirk McCullough, MD

Keywords

syndesmotic injury

athletes

football

lacrosse

hockey