Next Article in Journal
Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems
Next Article in Special Issue
Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability—A Cross-Sectional Study
Previous Article in Journal
Toxic Psychosocial Stress, Resiliency Resources and Time to Dementia Diagnosis in a Nationally Representative Sample of Older Americans in the Health and Retirement Study from 2006–2016
Previous Article in Special Issue
A Simple Method to Locate the Master Knot of Henry Using the Correlation between the Flexor Tendon Length Parameter and the Foot Length
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 19
Issue 4
10.3390/ijerph19042428
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients

by
Jahyung Kim
1,†,
Bum-Jin Shim
2,†,
Jae-Shin Yang
2,
Altanzul Bat-Ulzii
3 and
Jaeho Cho
2,*
1
Department of Orthopaedic Surgery, Armed Force Gangneung Hospital, Gangneung 25422, Korea
2
Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea
3
Institute for Skeletal Aging and Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2022, 19(4), 2428; https://doi.org/10.3390/ijerph19042428
Submission received: 19 December 2021 / Revised: 4 February 2022 / Accepted: 18 February 2022 / Published: 19 February 2022
(This article belongs to the Special Issue Treatment of Foot and Ankle Injury and Public Health)
Browse Figures
Versions Notes

Abstract

We aimed to investigate the preoperative history, clinical manifestations, imaging findings, and postoperative clinical outcomes for patients with surgically confirmed synovial fistula around the ankle joint. 19 consecutive patients who were confirmed to have synovial fistula in the surgical field were enrolled in this study. Medical records of all patients in terms of preoperative details, operative findings, and postoperative outcomes at 1 year after the surgery were retrieved. As a diagnostic modality, the normal saline test or MRI was used. Intraoperatively, the synovial fistula was repaired with the capsuloligamentous repair or additional periosteal augmentation. All patients had a history of ankle sprain prior to symptoms and showed positive results in the saline load test. One patient had recurred symptom after the surgery, so needed a revisional periosteal augmentation. At 1 year follow-up period, the average Foot ankle outcome score was 87.65 and no surgery-related complication was detected. Synovial fistula of the ankle joint needs to be taken into consideration as a possible complication in patients with ankle sprain history and recurrent joint swelling. The saline load test would be useful for its diagnosis, and treatment should be focused on the complete closure of capsular opening along with restoration of its surrounding pathologic conditions.
Keywords: ankle; synovial fistula; ankle sprain; lateral ankle instability ankle; synovial fistula; ankle sprain; lateral ankle instability

Share and Cite

MDPI and ACS Style

Kim, J.; Shim, B.-J.; Yang, J.-S.; Bat-Ulzii, A.; Cho, J. Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients. Int. J. Environ. Res. Public Health 2022, 19, 2428. https://doi.org/10.3390/ijerph19042428

AMA Style

Kim J, Shim B-J, Yang J-S, Bat-Ulzii A, Cho J. Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients. International Journal of Environmental Research and Public Health. 2022; 19(4):2428. https://doi.org/10.3390/ijerph19042428

Chicago/Turabian Style

Kim, Jahyung, Bum-Jin Shim, Jae-Shin Yang, Altanzul Bat-Ulzii, and Jaeho Cho. 2022. "Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients" International Journal of Environmental Research and Public Health 19, no. 4: 2428. https://doi.org/10.3390/ijerph19042428

APA Style

Kim, J., Shim, B.-J., Yang, J.-S., Bat-Ulzii, A., & Cho, J. (2022). Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients. International Journal of Environmental Research and Public Health, 19(4), 2428. https://doi.org/10.3390/ijerph19042428

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop