• 1

    Maisonneuve J: Recherches sur la fracture du perone. .Arch Gen Med 7::165. ,1840. .

  • 2

    Boytim MJ, Fischer DA, Neumann L: Syndesmotic ankle sprains. .Am J Sports Med 19::294. ,1991. .

  • 3

    Edwards GS Jr, DeLee JC: Ankle diastasis without fracture. .Foot Ankle 4::305. ,1984. .

  • 4

    Hopkinson WJ, St Pierre P, Ryan JB, et al: Syndesmosis sprains of the ankle. .Foot Ankle 10::325. ,1990. .

  • 5

    Taylor DC, Englehardt DL, Bassett FH: Syndesmotic sprains of the ankle: the influence of heterotopic ossification. .Am J Sports Med 20::146. ,1992. .

  • 6

    Lauge-Hansen N: Fractures of the ankle: part II. Combined experimental-surgical and experimental-roent-genologic investigations. .Arch Surg 60::957. ,1950. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Amendola A: Controversies in diagnosis and management of syndesmosis injuries of the ankle. .Foot Ankle 13::44. ,1992. .

  • 8

    Cedell CA: Ankle lesions. .Acta Orthop Scand 46::425. ,1975. .

  • 9

    Miller CD, Shelton WR, Barrett GR, et al: Deltoid and syndesmosis ligament injury of the ankle without fracture. .Am J Sports Med 23::746. ,1995. .

  • 10

    Mullins JFP, Endean SJ: Recurrent sprain of the ankle joint with diastasis. .J Bone Joint Surg Br 40::270. ,1958. .

  • 11

    Ogilvie-Harris DJ, Reed SC, Hedman TP: Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. .Arthroscopy 10::558. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Olerud S: Subluxation of the ankle without fracture of the fibula. .J Bone Joint Surg Am 53::594. ,1971. .

  • 13

    Tornetta P III, Spoo JE, Reynolds FA, et al: Overtightening of the ankle syndesmosis: is it really possible. ?J Bone Joint Surg Am 83::489. ,2001. .

  • 14

    McMaster JH, Scranton PE Jr: Tibiofibular synostosis: a cause of ankle disability. .Clin Orthop 111::172. ,1975. .

  • 15

    Palmer I: Oppen Behandling av Fracturer och Ledskador, Almqvist & Wiksell, Stockholm, 1962..

  • 16

    Lindsjo U: Operative treatment of ankle fractures. .Acta Orthop Scand 52::5. ,1981. .

Syndesmotic Rupture Without Ankle Fracture

A Report of Two Cases in Professional Football Players

Ty Endean Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.

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Warren King Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.

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H. Rod Martin Head Trainer, Oakland Raiders, Oakland, CA.

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Two patients with syndesmotic rupture without fracture are presented to demonstrate that ligamentous injury to the distal syndesmosis can occur as an isolated injury. In both cases diagnosis was delayed owing to a negative radiograph on the day of injury. Comprehensive follow-up is imperative to correctly diagnose this injury pattern. (J Am Podiatr Med Assoc 93(4): 336-339, 2003)

Corresponding author: Warren King, MD, Department of Sports Medicine, Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301.