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Review
. 2025 Mar;30(1):41-50.
doi: 10.1016/j.fcl.2023.09.003. Epub 2023 Oct 5.

Delayed Diagnosis of Syndesmotic Injury: A Treatment Algorithm

Arianna L Gianakos  1 , Panagiotis D Symeonidis  2
Affiliations
Review

Delayed Diagnosis of Syndesmotic Injury: A Treatment Algorithm

Arianna L Gianakos et al. Foot Ankle Clin. 2025 Mar.

Abstract

A delay in diagnosis and management of syndesmotic injuries can result in a complex treatment challenge, leading to poorer clinical results and higher rates of unplanned, syndesmotic-related primary operations and reoperations. This article presents a simple and reproducible algorithm with case examples for the management of syndesmotic injuries with delay in diagnosis to help guide surgeons when determining the best treatment strategies for this complex injury.

Keywords: Delayed diagnosis; Syndesmosis; Syndesmotic injury; Treatment algorithm.

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Conflict of interest statement

Disclosure The authors do not have any disclosures or conflicts of interest related to this manuscript. There was no funding involved in the production of this article.

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