Evidence map›Paper›PMID 34267932›Full record

ReviewEFORT open reviews2021

Ankle and syndesmosis instability: consensus and controversies.

Nuno Corte-Real, João Caetano

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06313177 (Syndesmotic Screw in Neutral Position Versus Maximum Ankle Dorsiflexion in Ankle Fractures; Comparative Study.), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
7.5field-weighted citation impact, top 2% 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.

NCT06313177 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Syndesmotic Screw in Neutral Position Versus Maximum Ankle Dorsiflexion in Ankle Fractures; Comparative Study.

TypeinterventionalSponsorSohag UniversityRan2024 to 2025Enrolled40ConditionsSyndesmotic InjuriesArmssyndesmosis fixation with screws
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 68 citations in OpenAlex.

  1. Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025
    Trial
  2. Article
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  7. Review
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  14. [Suture anchor technique without knots for reconstruction of anterior talofibular ligament combined with reinforcement of inferior extensor retinaculum for treatment of chronic lateral ankle instability].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  15. Review
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  17. Comparison of tibiofibular syndesmosis stability following treatment of proximal, middle, and distal third fibula fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  18. Article
  19. Ankle osteoarthritis: Toward new understanding and opportunities for prevention and intervention.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Review
  20. 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

2 authors at 1 institution in 1 country.

Nuno Corte-RealDepartment of Orthopaedics, Hospital de Cascais Dr. José de Almeida, Portugal.
João CaetanoDepartment of Orthopaedics, Hospital de Cascais Dr. José de Almeida, Portugal.ORCID https://orcid.org/0000-0003-0778-5560
Hospital de São José · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ankle sprains are mainly benign lesions, but if not well addressed can evolve into permanent disability. A non-treated lateral, syndesmotic or medial ankle instability can evolve into ankle osteoarthritis. For this reason, diagnosis and treatment of these entities is of extreme importance.In general, acute instabilities undergo conservative treatment, while chronic instabilities are better addressed with surgical treatment. It is important to identify which acute instabilities are better treated with early surgical treatment.Syndesmosis injuries are frequently overlooked and represent a cause for persistent pain in ankle sprains. Unstable syndesmotic lesions are always managed by surgery.Non-treated deltoid ligament ruptures can evolve into a progressive valgus deformity of the hindfoot, due to its links with the spring ligament complex. This concept would give new importance to the diagnosis and treatment of acute medial ligament lesions.Multi-ligament lesions are usually unstable and are better treated with early surgery. A high suspicion rate is required, especially for combined syndesmotic and medial lesions or lateral and medial lesions.Ankle arthroscopy is a powerful tool for both diagnostic and treatment purposes. It is becoming mandatory in the management of ankle instabilities and multiple arthroscopic lateral/syndesmotic/medial repair techniques are emerging. Cite this article:

Indexed as

ankle instabilityankle sprainsarthroscopydeltoid ligament lesionlateral instabilitymedial instabilitysyndesmosis instabilitysyndesmotic instability

Identifiers

PMID34267932
PMCPMC8246108
OpenAlexW3173945923

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.