Evidence map›Paper›PMID 34055585›Full record

ReviewWorld journal of orthopedics2021

Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts.

Francesco Pogliacomi, Massimo De Filippo, Daniele Casalini, Alberto Longhi, Fabrizio Tacci, Rocco Perotta, Francesco Pagnini, Silvio Tocco, Francesco Ceccarelli

2 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in World journal of orthopedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06945939 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Correlation Between Ultrasound Findings Vs Intraoperative Findings in Syndesmotic Injury in Pott's Fracture Weber b and c

TypeinterventionalSponsorBenha UniversityRan2025 to 2026Enrolled20ConditionsAnkle Syndesmotic Injury Associated With Pott&#39, s FractureArmsFixation of Pott's fracture b and c
NCT07755462 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

A Randomized Controlled Trial Evaluating the Stability of the Distal Tibiofibular Syndesmosis With or Without Fixation of the Posterior Fragments in Bimalleolar or Equivalent Fractures

TypeinterventionalSponsorGroupe Hospitalier Diaconesses Croix Saint-SimonRan2025 to 2029Enrolled150ConditionsAnkle Fractures, Osteoarthritis, AnkleArmsSurgical management of bimalleolar ankle fractures with osteosynthesis of the posterior fragments., Surgical management of bimalleolar ankle fractures without osteosynthesis of the posterior fragments
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  20. Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Francesco PogliacomiDepartment of Medicine and Surgery, Orthopaedic Clinic, Parma 43126, Italy. francesco.pogliacomi@unipr.it.
Massimo De FilippoDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Daniele CasaliniDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Alberto LonghiDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Fabrizio TacciDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Rocco PerottaDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Francesco PagniniDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
Silvio ToccoCentro Riabilitativo della Mano e Arto Superiore, Parma 43121, Italy.
Francesco CeccarelliDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship, and it is essential for normal motion of the ankle joint. The disruption of this joint is frequently accompanied by rotational ankle fracture, such as pronation-external rotation, and rarely occurs without ankle fracture. The diagnosis is not simple, and ideal management of the various presentations of syndesmotic injury remains controversial to this day. Anatomical restoration and stabilization of the disrupted tibiofibular syndesmosis is essential to improve functional outcomes. In such an injury, including inadequately treated, misdiagnosed and correctly diagnosed cases, a chronic pattern characterized by persistent ankle pain, function disability and early osteoarthritis can result. This paper reviews anatomical and biomechanical characteristics of this syndesmosis, the mechanism of its acute injury associated to fractures, radiological and arthroscopic diagnosis and surgical treatment.

Indexed as

AnkleDistal tibiofibular jointFractureInjurySyndesmosisTrauma

Identifiers

PMID34055585
PMCPMC8152437
OpenAlexW3161246755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.