Chronic instability in a malformed tibiofibular syndesmosis associated with osteochondral lesion of the talus: a case report

Authors

  • Danilo Ryuko Cândido Nishikawa Department of Orthopaedic Surgery, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil https://orcid.org/0000-0003-0227-2440
  • Pedro Bragato Romanholi Department of Orthopaedic Surgery, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil. https://orcid.org/0000-0002-7215-8187
  • Tânia Szejnfeld Mann Department of Orthopaedic Surgery, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil https://orcid.org/0000-0003-4168-0981
  • Guilherme Honda Saito . Department of Orthopaedic Surgery, Hospital Sírio-Libanês, São Paulo, SP, Brazil
  • Fernando Aires Duarte Department of Orthopaedic Surgery, Clínica Care Club, São Paulo, SP, Brazil https://orcid.org/0000-0001-6871-2491
  • Marcelo Pires Prado Department of Orthopaedic Surgery, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. https://orcid.org/0000-0003-0325-8050

DOI:

https://doi.org/10.30795/jfootankle.2023.v17.1703

Keywords:

syndesmosis, instability, osteochondral lesion., Tibiofibular ankle syndesmosis; Joint instability; Osteochondral lesion.

Abstract

Surgical treatment of tibiofibular syndesmosis (TFS) with chronic instability aims to obtain a solid and stable joint to avoid ankle arthritis. Osteochondral lesions of the talus (OLT) may be associated in up to 24% of cases and must be treated concomitantly. We present a 27-year-old male patient with chronic ankle pain and a history of recurrent sprains since childhood. Imaging exams showed malformation of TFS associated with an OLT. He was submitted to surgical treatment with open repair, TFS fixation with suture-button, and osteochondroplasty of the OLT with collagen membrane through arthroscopy. At 13 months follow-up, he was asymptomatic and fully active.

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Published

2023-10-31

How to Cite

Nishikawa, D. R. C., Romanholi, P. B., Mann, T. S., Saito, G. H., Duarte, F. A., & Prado, M. P. (2023). Chronic instability in a malformed tibiofibular syndesmosis associated with osteochondral lesion of the talus: a case report. Journal of the Foot & Ankle, 17(2), 112–118. https://doi.org/10.30795/jfootankle.2023.v17.1703

Issue

Vol. 17 No. 2 (2023): Journal of the Foot and Ankle

Section

Case Report

License

Copyright (c) 2023 Journal of the Foot & Ankle

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