The higher loading exerted on the screw determined in four-cortex fixation indicates that the screw is motionless at four points, and it is under great stress; tibiofibular joint
stiffness, synostosis, and screw fixation failure may be the result of this extreme loading.
The elastic hook can not only effectively fix the tibiofibular syndesmosis, but also retain the physiological micromotion of tibiofibular joint
It has been reported that peroneal intraneural ganglia originate from the superior tibiofibular joint
and that the articular branch serves as a conduit for the cyst fluid to pass from a capsular defect in the joint.
The cyst was seen to arise from the anterior aspect of the proximal tibiofibular joint
with a distinct pedicle.
These include taping techniques of the upper body (scapula, shoulder joint, elbow joint, wrist joint, hand, thumb and finger), lower body (hip and buttock, thigh, knee joint, patellofemoral joint, superior and inferior tibiofibular joints
, ankle joint, foot and toe), spinal conditions (cervical, thoracic and lumbar spine, pelvis and sacroiliac joint) and soft casting techniques (thumb, ankle and foot)
4,6) In addition to a core ankle examination, there are four orthopedic tests which are able to stress the distal tibiofibular joint
and its associated ligaments.
However, the syndesmotic bolt cannot permit a normal range of motion of the distal tibiofibular joint
, and tightrope technique lacks the ability of reducing the syndesmotic diastasis.
14) Equinovalgus deformity of the foot resulted from a disproportionate lengthening response of soft tissue in the lower leg and a dissociation in the tibiofibular joint
The distal tibiofibular splaying also has an effect at the proximal tibiofibular joint
, requiring good stability with normal joint play there as well.
It is also possible that the anatomical arrangement of the bones such as a positional fault at the inferior tibiofibular joint
(Kavanagh 1999), plus the nature of the origin and insertion of the muscles on the bone at a particular moment through the range of motion, along with the degree of relative flexibility and strength of the surrounding muscles (Beynnon et al, 2001, Hume and Gerrard 1998) affects frontal plane ankle joint stability to a greater extent than the status of its proprioceptive feedback mechanisms.
Congenital diastasis of the inferior tibiofibular joint
with clubfoot and imperforate anus.
Numerous studies investigating the distal tibiofibular joint
exist in the literature, yet there is no consensus regarding the definitive surgical treatment of acute syndesmosis injuries.