Imaging of the Tibiofibular Syndesmosis and High Ankle Sprain

[@ChrisBeaulieu]

Please note the full reference for the excellent anatomic article that I show images from: Bartonicek J. Anatomy of the tibiofibular syndesmosis and its clinical relevance. Surgical and radiologic anatomy (2003) 25:379-386

[@mwlbett141]

Dear Dr. Bealieu, May I run three very small anonymous images by you? I just need to know what they are. My doctors do not know. I am in quite a bit of pain and I am very poor, I have no other doctors available to me.

[@damha17]

can you please help me by going through my Xrays and letting me know if somethings wrong or not? Please let me know how can i share xray images with u ?

[@heatherobrien1790]

Fantastic presentation!

[@drmiteshtrivedi]

Great review. Thanks Dr. Beaulieu

[@JimboVigilante]

Are you wearing a heart rate monitor? *BEEP*

[@FLTHYFCKGAMING]

BEEP YEAH I WAS THINKING THE SAME THING😂 BEEP

[@xXAnni3LuvsYhuXx]

😂😂I’m deadddd

[@4dogsannacat]

Thanks Weber c fracture with syndesmotic disruption tear in anterior and posterior. Hoping to avoid surgery but may be necessary. I can ask some educated questions when I meet the doc next

[@AwesomeKicks]

What if the tibiofibular space is 1 mm or less after an ankle fracture? Damage to syndemosis?

[@PavelChmelar]

thank you, Chris, that's very informative. I suffer this kind of injury from breakdance move (doing a rotation on fixed foot with all body weight going opposite direction with extra movement force). It happened last night, diagnosed today and I am scheduled for a check at fracture clinic next week. In meantime, I have moon boot and look for an opportunity in natural remedy and strengthening ligaments for future. Would you have any suggestions or links to point me at? I would really appreciate your time. Thank you

[@pacomonje]

i had a similar case 3 days ago riding my notorbike, ankle rotated outwards and I felt a "pop". Did you heard something similar ? how it went out your case?

[@PavelChmelar]

⁠​⁠​⁠@@pacomonjeI am sorry to hear that. Yes, I heard the “pop” and since then had another ankle injury on the other foot from soccer. Similar thing however I don’t believe the “pop” is actually related to the injury but rather a movement of the ankle itself (just my opinion). In both cases no bones were actually fractured, though ligaments got strained / damaged a bit. I recovered from both well, however I must emphasise the importance of stretching and strengthening the impacted area gradually to avoid limited movement and then affecting body posture /walking etc. Cold therapy (win hof) worked well for me and made the recovery quicker. Wish you all the best with your recovery.

[@pacomonje]

​@@PavelChmelar Wow tank you so much for the reference. I got an x Ray and sowed no fractures and no severe separation of the fibula-tibia nevertheless an obscured area appears on the joint. Doctor said it is the spilled liquid from the articulation. Tank you so much, is very good to hear you recovered well. I am still a bit scared because the ankle suffered all the 250+ Kg of motorbike over it, turning it outwards.... Thanks again!

[@jacksparo8737]

How much time it will take to recover after surgery

[@judyturner3008]

I just had this surgery for repairs last week. The doc told me 4-6 non-weight bearing & then 4-6 weeks in post-op boot.

[@jeetendralodhi3761]

Great information...thanks

[@kengland88]

This was helpful! Thank you! I have a high ankle sprain from a motorcycle wreck last March and even though it's been almost 9 months, I still feel pain and stiffness and a sort of "catching" on the posterior/lateral side (kinda like my calcaneofibular lig or something) if I try to go up and down stairs or w/ plantar flexion so I am about to have an MRI to see what's going on.

[@johnmartin9294]

I know Im kind of randomly asking but does anybody know of a good site to watch newly released series online ?

[@laytonfranco967]

@John Martin try FlixZone. You can find it on google =)

[@jaggervalentino3473]

@Layton Franco yup, I've been using FlixZone for months myself =)

[@johnmartin9294]

@Layton Franco Thank you, I went there and it seems like a nice service :D Appreciate it!!

[@laytonfranco967]

@John Martin No problem =)

[@DarthVader-eg9jm]

Great talk, Chris. B. W. MD

[@joshbanchs8002]

I sprained my ànkle last year in October 2018 and it has affected me everything I do and it still cracks and it gets tight and when k crack it feels good on the back right of my foot near the achliees but the top of my it's kinda hurts sometimes

[@hosseinnejati3689]

awesome

[@PianoFanatic1989]

what is that beeping? it was so distracting for me that i couldnt watch through the whole video.

[@4dogsannacat]

PianoFanatic1989 weak minded

[@khalilalaqrabawi5936]

It’s not that bad lol

[@xXAnni3LuvsYhuXx]

The beep sound?😂 lol

[@Arkenva]

Could a high ankle sprain cause a feeling of instability in the knee? Or is this a different issue.

[@xXAnni3LuvsYhuXx]

The radiologist said I was fine and sent me back home😭 and the pain has only got worse. For four months I’ve been struggling like HELL

[@cameronclemente7773]

Did you go to a different hospital?

At least here in my country a Radiologist can not do that...the law say that any musculoskeletal trauma needs to be seen by an Ortho surgeon...

[@WIZARDWERX]

thank you