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Leg Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
The ankle consists of three distinct joints: The talocrural joint is formed by the tibia, fibula, and talus. This joint is responsible for flexion and extension of the foot.The talocalcaneal joint, also known as the subtalar joint, is formed by the talus and the calcaneus. This joint is responsible for side rotation of the foot.The inferior tibiofibular joint is between the tibia and the fibula. It is a syndesmosis joint, a fibrous joint between the fibular notch of the tibia and the distal epiphysis of the tibia. It is reinforced by the anterior and posterior tibiofibular ligaments and the inferior transverse and interosseous ligament.23
Lower Limb
Published in Harold Ellis, Adrian Kendal Dixon, Bari M. Logan, David J. Bowden, Human Sectional Anatomy, 2017
Harold Ellis, Adrian Kendal Dixon, Bari M. Logan, David J. Bowden
By convention, the articulation between the lower end of the fibula and the tibia is described as the inferior tibiofibular joint (2) and is stated to be the only fibrous joint apart from those pertaining to the skull. In effect, this ‘joint’ represents the considerable thickening of the lowermost part of the interosseous membrane between the shafts of these two bones.
Injuries of the ankle and foot
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Following a twisting injury, the patient complains of pain in the front of the ankle. There is swelling and marked tenderness directly over the inferior tibiofibular joint. A ‘squeeze test’ has been described by Hopkinson and colleagues: when the leg is firmly compressed some way above the ankle, the patient experiences pain over the syndesmosis. Be sure, though, to exclude a fracture before carrying out the test.
Randomized trial comparing suture button with single 3.5 mm syndesmotic screw for ankle syndesmosis injury: similar results at 2 years
Published in Acta Orthopaedica, 2020
Benedikte Wendt Ræder, Ingrid Kvello Stake, Jan Erik Madsen, Frede Frihagen, Silje Berild Jacobsen, Mette Renate Andersen, Wender Figved
Surgery was performed according to AO principles. The syndesmosis was reduced and fixed in a closed manner, guided by fluoroscopy. Surgeons were recommended to fix the syndesmosis at a level just proximal to the inferior tibiofibular joint (Barbosa et al. 2020), the use of temporary fixators (K-wire or reduction clamp) was decided by the surgeon. Patients allocated to SB were treated with a single knotless SB (Ziptight, Zimmer Biomet, Warsaw, IN, USA). Patients allocated to TS were treated with a fully threaded self-tapping, 3.5 mm tricortical screw (DePuy Synthes, West Chester, PA, USA). The screw length was not specified, but standardized to engage 3 cortices. Surgery was performed by the on-call team, either by an experienced resident, or a less experienced resident accompanied by a consultant or senior resident. Antibiotic prophylaxis was given as a single dose peroperatively. All patients followed the same protocol postoperatively: implants were not routinely removed; plaster casts and thrombosis prophylaxis were not used routinely. Patients were advised partial weight-bearing (20–30 kg) directly after surgery (Barbosa et al. 2020), then weight-bearing as tolerated after 6 weeks.