{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T14:20:42Z","timestamp":1758291642190,"version":"3.44.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,18]]},"DOI":"10.7759\/cureus.92617","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:16:38Z","timestamp":1758197798000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Compliance to Intra-operative Syndesmosis Stress Testing During Ankle Fracture Fixation: Are We Stressing It?"],"prefix":"10.7759","author":[{"given":"Adam Khan","family":"Rahim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Imtiaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Durrani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thet Paing","family":"Oo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunjan","family":"Barot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Kouklidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arsallan","family":"Karim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuraag","family":"Sangar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","unstructured":"British Orthopaedic Foot & Ankle Society. Ankle fractures. (2025). https:\/\/www.bofas.org.uk\/hyperbook\/trauma\/ankle-fracture."},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2016.04.015","article-title":"Biomechanics of the ankle","volume":"30","author":"Brockett CL","year":"2016","unstructured":"Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthop Trauma. 2016, 30:232-8. 10.1016\/j.mporth.2016.04.015","journal-title":"Orthop Trauma"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-006-0077-0","article-title":"Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments","volume":"28","author":"Ebraheim NA","year":"2006","unstructured":"Ebraheim NA, Taser F, Shafiq Q, Yeasting RA. Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments. Surg Radiol Anat. 2006, 28:142-9. 10.1007\/s00276-006-0077-0","journal-title":"Surg Radiol Anat"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v7.i11.718","article-title":"Management of syndesmotic injuries: what is the evidence?","volume":"7","author":"Schnetzke M","year":"2016","unstructured":"Schnetzke M, Vetter SY, Beisemann N, Swartman B, Gr\u00fctzner PA, Franke J. Management of syndesmotic injuries: what is the evidence?. World J Orthop. 2016, 7:718-25. 10.5312\/wjo.v7.i11.718","journal-title":"World J Orthop"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23462","article-title":"Post-traumatic osteoarthritis of the ankle: a distinct clinical entity requiring new research approaches","volume":"35","author":"Delco ML","year":"2017","unstructured":"Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: a distinct clinical entity requiring new research approaches. J Orthop Res. 2017, 35:440-53. 10.1002\/jor.23462","journal-title":"J Orthop Res"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.01.015","article-title":"Clinical evidence for treatment of distal tibiofibular syndesmosis injury: a systematic review of clinical studies","volume":"58","author":"Liu G","year":"2019","unstructured":"Liu G, Chen L, Gong M, Xing F, Xiang Z. Clinical evidence for treatment of distal tibiofibular syndesmosis injury: a systematic review of clinical studies. J Foot Ankle Surg. 2019, 58:1245-50. 10.1053\/j.jfas.2019.01.015","journal-title":"J Foot Ankle Surg"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002651","article-title":"Stress tests for deltoid ligament and syndesmosis injury in patients with ankle fracture: a systemic review with meta-analysis","volume":"37","author":"Cao S","year":"2023","unstructured":"Cao S, Wang C, Chen Y, Zhang C, Huang J, Ma X, Wang X. Stress tests for deltoid ligament and syndesmosis injury in patients with ankle fracture: a systemic review with meta-analysis. J Orthop Trauma. 2023, 37:e441-6. 10.1097\/BOT.0000000000002651","journal-title":"J Orthop Trauma"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01287","article-title":"Intraoperative assessment of the stability of the distal tibiofibular joint in supination-external rotation injuries of the ankle: sensitivity, specificity, and reliability of two clinical tests","volume":"93","author":"Pakarinen H","year":"2011","unstructured":"Pakarinen H, Flinkkil\u00e4 T, Ohtonen P, Hyv\u00f6nen P, Lakovaara M, Leppilahti J, Ristiniemi J. Intraoperative assessment of the stability of the distal tibiofibular joint in supination-external rotation injuries of the ankle: sensitivity, specificity, and reliability of two clinical tests. J Bone Joint Surg Am. 2011, 93:2057-61. 10.2106\/JBJS.J.01287","journal-title":"J Bone Joint Surg Am"},{"key":"ref9","unstructured":"British Orthopaedic Association. BOAST - the management of ankle fractures. (2025). https:\/\/www.boa.ac.uk\/resource\/boast-12-pdf.html."},{"key":"ref10","article-title":"The influence of a diastasis screw on the outcome of Weber type-C ankle fractures","volume":"77","author":"Chissell HR","year":"1995","unstructured":"Chissell HR, Jones J. The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J Bone Joint Surg Br. 1995, 77:435-8.","journal-title":"J Bone Joint Surg Br"},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.2106\/00004623-198466040-00002","article-title":"Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures","volume":"66","author":"Leeds HC","year":"1984","unstructured":"Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am. 1984, 66:490-503.","journal-title":"J Bone Joint Surg Am"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000177114.13263.12","article-title":"Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures","volume":"19","author":"Jenkinson RJ","year":"2005","unstructured":"Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lydestadt J. Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. J Orthop Trauma. 2005, 19:604-9. 10.1097\/01.bot.0000177114.13263.12","journal-title":"J Orthop Trauma"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B11.33963","article-title":"Clinical negligence in foot and ankle surgery: a 17-year review of claims to the NHS Litigation Authority","volume":"96-B","author":"Ring J","year":"2014","unstructured":"Ring J, Talbot CL, Clough TM. Clinical negligence in foot and ankle surgery: a 17-year review of claims to the NHS Litigation Authority. Bone Joint J. 2014, 96-B:1510-4. 10.1302\/0301-620X.96B11.33963","journal-title":"Bone Joint J"},{"key":"ref14","unstructured":"NHS Resolution. NHS Resolution annual report and accounts 2020\/21. (2025). https:\/\/resolution.nhs.uk."}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/411898-evaluating-compliance-to-intra-operative-syndesmosis-stress-testing-during-ankle-fracture-fixation-are-we-stressing-it","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:16:43Z","timestamp":1758197803000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/411898-evaluating-compliance-to-intra-operative-syndesmosis-stress-testing-during-ankle-fracture-fixation-are-we-stressing-it"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":14,"URL":"https:\/\/doi.org\/10.7759\/cureus.92617","relation":{},"ISSN":["2168-8184"],"issn-type":[{"type":"print","value":"2168-8184"}],"subject":[],"published":{"date-parts":[[2025,9,18]]}}}