Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2021 Nov;29(11):3508-3511.
doi: 10.1007/s00167-020-06008-2. Epub 2020 Apr 25.

The ankle syndesmosis pivot shift "Are we reviving the ACL story?"

Thomas Tampere  1   2 , Pieter D'Hooghe  3
Affiliations
Editorial

The ankle syndesmosis pivot shift "Are we reviving the ACL story?"

Thomas Tampere et al. Knee Surg Sports Traumatol Arthrosc. 2021 Nov.

Abstract

In recent literature, there is a growing interest for the high ankle sprain with emerging evidence on biomechanical behavior, function, injury, and treatment. Interpretation of emerging publications on the distal tibiofibular syndesmosis may raise questions about striking similarities with the anterior cruciate ligament function and pivot-shift mechanism of injury in the knee. This editorial note puts to question whether identical entities, a continuum or separate injuries are faced by contemplating on the mechanism of injury, diagnostics, treatment, and outcome.

Keywords: ACL; Ankle; High ankle sprain; Knee; Syndesmosis.

PubMed Disclaimer

References

    1. Balazs G, Pavey GN, Brelin A, Pickett A, Keblish D, Rue J (2015) Risk of anterior cruciate ligament injury in athletes on synthetic playing surfaces: a systematic review. Am J Sports Med 43(7):1798–1804 - DOI
    1. Beaulie M, Wojtys E, Ashton-Miller J (2015) Risk of anterior cruciate ligament fatigue failure is increased by limited internal femoral rotation during in vitro repeated pivot landings. Am J Sports Med 43(9):2233–2241 - DOI
    1. Bedi A, Warren R, Woitys E, Oh Y, Ashton-Miller J, Oltean H, Kelly B (2016) Restriction in hip internal rotation is associated with an increased risk of ACL injury. Knee Surg Sports Traumatol Arthrosc 24(6):2024–2031 - DOI
    1. Beumer A, Valstar E, Garling E, Niesing R, Ginai A et al (2006) Effects of ligament sectioning on the kinematics of the distal tibiofibular syndesmosis. Acta Orthop 77:531–540 - DOI
    1. Boytim M, Fischer D, Neumann L (1991) Syndesmotic ankle sprains. Am J Sports Med 19(3):294–298 - DOI

Publication types

LinkOut - more resources