Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism
Objective: To review imaging findings of isolated tibiofibular interosseous membrane (IOM) injury and propose an injury mechanism. Case Report: A retrospective review was conducted on five patients who presented with lower leg pain following a traumatic athletic injury. MRI examinations revealed iso...
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MDPI AG
2024-11-01
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Series: | Emergency Care and Medicine |
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Online Access: | https://www.mdpi.com/2813-7914/1/4/40 |
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author | Sydney Asper Hailey Allen Maryam Soltanolkotabi |
author_facet | Sydney Asper Hailey Allen Maryam Soltanolkotabi |
author_sort | Sydney Asper |
collection | DOAJ |
description | Objective: To review imaging findings of isolated tibiofibular interosseous membrane (IOM) injury and propose an injury mechanism. Case Report: A retrospective review was conducted on five patients who presented with lower leg pain following a traumatic athletic injury. MRI examinations revealed isolated tibiofibular IOM injury without associated fractures or distal syndesmotic disruption. The observed injury patterns, along with the blunt, non-rotational trauma reported in each case, suggest that the mechanism behind this unique presentation may involve sudden traction or direct impact to the lower leg. Conclusion: Isolated tibiofibular IOM injury should be considered in patients with lower leg pain after blunt trauma. MRI of the entire tibia and fibula can be instrumental in characterizing and confirming the injury and should be considered when clinical and injury mechanism indicators are present. |
format | Article |
id | doaj-art-cc0528cbd80c425d8824c23880081367 |
institution | Kabale University |
issn | 2813-7914 |
language | English |
publishDate | 2024-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Emergency Care and Medicine |
spelling | doaj-art-cc0528cbd80c425d8824c238800813672025-01-24T13:29:56ZengMDPI AGEmergency Care and Medicine2813-79142024-11-011441141610.3390/ecm1040040Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed MechanismSydney Asper0Hailey Allen1Maryam Soltanolkotabi2Department of Radiology and Imaging Sciences, University of Utah, 30 N Mario Capecchi Dr., Salt Lake City, UT 84112, USADepartment of Radiology and Imaging Sciences, University of Utah, 30 N Mario Capecchi Dr., Salt Lake City, UT 84112, USADepartment of Radiology and Imaging Sciences, University of Utah, 30 N Mario Capecchi Dr., Salt Lake City, UT 84112, USAObjective: To review imaging findings of isolated tibiofibular interosseous membrane (IOM) injury and propose an injury mechanism. Case Report: A retrospective review was conducted on five patients who presented with lower leg pain following a traumatic athletic injury. MRI examinations revealed isolated tibiofibular IOM injury without associated fractures or distal syndesmotic disruption. The observed injury patterns, along with the blunt, non-rotational trauma reported in each case, suggest that the mechanism behind this unique presentation may involve sudden traction or direct impact to the lower leg. Conclusion: Isolated tibiofibular IOM injury should be considered in patients with lower leg pain after blunt trauma. MRI of the entire tibia and fibula can be instrumental in characterizing and confirming the injury and should be considered when clinical and injury mechanism indicators are present.https://www.mdpi.com/2813-7914/1/4/40interosseous membranedistal tibiofibular syndesmosisinjury mechanismMRI |
spellingShingle | Sydney Asper Hailey Allen Maryam Soltanolkotabi Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism Emergency Care and Medicine interosseous membrane distal tibiofibular syndesmosis injury mechanism MRI |
title | Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism |
title_full | Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism |
title_fullStr | Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism |
title_full_unstemmed | Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism |
title_short | Isolated Distal Tibiofibular Syndesmotic Injury: A Case Series and Proposed Mechanism |
title_sort | isolated distal tibiofibular syndesmotic injury a case series and proposed mechanism |
topic | interosseous membrane distal tibiofibular syndesmosis injury mechanism MRI |
url | https://www.mdpi.com/2813-7914/1/4/40 |
work_keys_str_mv | AT sydneyasper isolateddistaltibiofibularsyndesmoticinjuryacaseseriesandproposedmechanism AT haileyallen isolateddistaltibiofibularsyndesmoticinjuryacaseseriesandproposedmechanism AT maryamsoltanolkotabi isolateddistaltibiofibularsyndesmoticinjuryacaseseriesandproposedmechanism |