BACKGROUND Medial clear space (MCS) width on mortise radiographs of the ankle is commonly used by clinicians for determining the competence of the deltoid ligament in the Weber B supination-external rotation ankle fracture. Significant variability exists in the current literature regarding methods of obtaining this measure and definition of a normal measure in comparison with a pathologic state...

  Background: The importance of the syndesmosis in ankle stability is well recognized. Numerous means of fixation have been described for syndesmotic injuries including the suture button technique. Significant cost limits the use the commercially available options. We, therefore, designed a cheap and readily available alternative construct. We aim to assess the results of using a novel suture-...

Sundeep r Bhat, MD, is an Emergency Medicine Resident in the Stanford/Kaiser Emergency Medicine Residency Program. E-mail: [email protected]. Gus M Garmel, MD, fACEP, fAAEM, is a Senior Emergency Medicine Physician at the Santa Clara Medical Center. He is also the Co-Program Director of the Stanford/Kaiser Emergency Medicine Residency Program, and an Associate Professor of Emergency Medicine (...

A multiscale extension to the medial axis transform(MAT) or skeleton can be obtained by combining information derived from a scale-space hierarchy of boundary representations with region information provided by the MAT. The skeleton-space is constructed by attributing each skeleton component with a hierarchically ordered sequence of residual values, each expressing the saliency of the component...

PURPOSE To review all paediatric ankle syndesmotic injuries occurring at our institution and identify risk factors associated with operative intervention. METHODS Among 22 873 evaluations for ankle trauma, we found 220 children suffering from syndesmotic injuries (incidence: 0.96%). We recorded demographic data, details of the injury, features on examination and treatment variables. Univariab...

Ankle syndesmotic injury does not necessarily lead to ankle instability; however, the coexistence of deltoid ligament injury critically destabilizes the ankle joint. Syndesmotic injury may occur in isolation or may be associated with ankle fracture. In the absence of fracture, physical examination findings suggestive of injury include ankle tenderness over the anterior aspect of the syndesmosis...

PURPOSE The purpose of this study was to investigate the results of repair of latent ankle syndesmotic instability and widening by an arthroscopic and percutaneous approach. METHODS This case study series presents 6 patients who presented with latent syndesmotic instability after sustaining a rotational ankle injury. All 6 patients underwent arthroscopy-assisted repair and percutaneous fixati...