2021 Annual Meeting Foot & Ankle Access Pass-Arthroscopic Assessment of Syndesmotic Instability: Are We Pulling Correctly in Coronal Plane?

Arthroscopic Assessment of Syndesmotic Instability: Are We Pulling Correctly in Coronal Plane?

Video Transcription

Video Summary

In this video, Rohan Bhimani discusses the arthroscopic assessment of syndesmotic instability. Syndesmotic instability is a three-dimensional problem, and arthroscopic evaluation is considered the gold standard. The lateral hook test in the coronal plane has been shown to be effective. The study aims to determine the impact of angulation of the point of entry (POE) on coronal plane measurements and the minimum amount of force needed to assess instability. They performed a cadaveric study using 10 fresh-frozen above knee cadavers and measured anterior and posterior coronal space measurements at the tibial incisora. They found that 60 newton of force was the threshold to determine unstable syndesmosis, and the posterior directed pull resulted in larger absolute coronal space measurements. Further studies are recommended. No credits were given in the video.

Asset Caption

Dr. Rohan Bhimani

Keywords

arthroscopic assessment

syndesmotic instability

lateral hook test

coronal plane measurements

point of entry angulation