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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Main Authors: Sydney Asper, Hailey Allen, Maryam Soltanolkotabi
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Emergency Care and Medicine
Subjects:
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.
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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