{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:58:09Z","timestamp":1793354289200,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Although simultaneous arthroscopy for the surgical treatment of acute isolated, unstable syndesmotic injuries has been recommended, little knowledge is present about the actual frequency of intra\u2010articular pathologies for this injury. The aim of this study was to investigate the frequency and severity of intra\u2010articular pathologies detected during arthroscopy and their subsequent treatment in acute isolated, unstable syndesmotic injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review of patients treated by arthroscopic\u2010assisted stabilization for acute isolated, syndesmotic instability was performed. The primary outcome parameter was the frequency of intra\u2010articular pathologies. Secondary outcome parameters were the type of syndesmotic lesion (ligamentous\/bony), severity of chondral lesions, MRI findings, treatment details, complications and the identification of factors associated with intra\u2010articular pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010seven patients, 19% female, with a mean age of 37\u2009\u00b1\u200912 years met the inclusion criteria. 70% suffered isolated ligamentous injuries, the remaining suffered avulsion fractures of the syndesmosis. Chondral lesions occurred in 48% (ICRS grade II: 33%; ICRS grade IV 15%) and intra\u2010articular loose bodies in 11% of patients. Overall, arthroscopy revealed intra\u2010articular pathologies necessitating further treatment in 19% of patients. Neither the type of syndesmotic injury (bony vs. ligamentous; ns) nor the degree of ligamentous instability (West Point IIB vs. III; ns) had a significant influence on the occurrence of chondral lesions. One complication (SSI) occurred. Pre\u2010operative MRI revealed a sensitivity\/specificity of 100\/79% for chondral lesions and 50\/93% for loose bodies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intra\u2010articular pathologies in acute isolated, unstable syndesmotic injuries occur in up to 50% of patients, 19% necessitated additional treatment. Simultaneous arthroscopy, independent of the pre\u2010operative MRI findings, appears reasonable in highly active patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-020-06141-y","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T01:26:20Z","timestamp":1595985980000},"page":"1516-1522","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Acute, isolated and unstable syndesmotic injuries are frequently associated with intra\u2010articular pathologies"],"prefix":"10.1002","volume":"29","author":[{"given":"Kathrin","family":"Rellensmann","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of General, Trauma and Reconstructive Surgery, University Hospital 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This manuscript has not been published elsewhere and is not under consideration by another journal. All authors agree with the submission to KSSTA.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the local ethics committee (#19-868)","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}