Skip to main content

Syndesmotic Injuries in Athletes: Return to Play and Rehabilitation

  • Chapter
  • First Online:
Ligamentous Injuries of the Foot and Ankle

Abstract

Syndesmotic injuries are increasingly common in the field and court sports. Injury severity, nuanced diagnosis, and long-term functional risk have led to significant advances in diagnosis and management protocols. Indeed, our approach to these athletes has changed considerably, even in the last decade. While there is an ongoing need for additional science to support new surgical stabilization constructs and accelerated return to sport protocols, the current management ethos has evolved toward flexible fixation device constructs and more specified rehabilitation protocols.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lubberts B, D'Hooghe P, Bengtsson H, DiGiovanni CW, Calder J, Ekstrand J. Epidemiology and return to play following isolated syndesmotic injuries of the ankle: a prospective cohort study of 3677 male professional footballers in the UEFA elite Club injury study. Br J Sports Med. 2019;53(15):959–64.

    Article  Google Scholar 

  2. van Dijk CN, Longo UG, Loppini M, et al. Classification and diagnosis of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1200–16.

    Article  Google Scholar 

  3. Soin SP, Knight TA, Dinah AF, Mears SC, Swierstra BA, Belkoff SM. Suture-button versus screw fixation in a syndesmosis rupture model: a biomechanical comparison. Foot Ankle Int. 2009;30(4):346–52.

    Article  Google Scholar 

  4. Shimozono Y, Hurley ET, Myerson CL, Murawski CD, Kennedy JG. Suture button versus syndesmotic screw for syndesmosis injuries: a meta-analysis of randomized controlled trials. Am J Sports Med. 2018;47(11):2764–71.

    Article  Google Scholar 

  5. Grassi A, Samuelsson K, D'Hooghe P, Romagnoli M, Mosca M, Zaffagnini S, Amendola A. Dynamic stabilization of syndesmosis injuries reduces complications and reoperations as compared with screw fixation. Am J Sports Med. 2020;48(4):1000–13.

    Article  Google Scholar 

  6. D’Hooghe P, Grassi A, Alkhelaifi K, et al. Return to play after surgery for isolated unstable syndesmotic ankle injuries (west point grade IIB and III) in 110 male professional football players: a retrospective cohort study. Br J Sports Med. 2019;54(19):1168–73. https://doi.org/10.1136/bjsports-2018-100298.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pieter D’Hooghe .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

D’Hooghe, P., Neys, F., Bartolomei-Aguillar, J., Hunt, K.J. (2022). Syndesmotic Injuries in Athletes: Return to Play and Rehabilitation. In: D’Hooghe, P., Hunt, K.J., McCormick, J.J. (eds) Ligamentous Injuries of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-08682-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08682-3_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08681-6

  • Online ISBN: 978-3-031-08682-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics