title: [Securing the syndesmosis suture by syndesmosis hook in extreme stress caused by long-distance running. A case report].
abstract: The elastic fixation of the distal tibiofibulary syndesmosis by means of Engelbrecht's hook allows weight bearing and free dorsal flexion. The example of an 40-year-old long distance runner (and surgeon) shows that this system can endure extreme stress: during the 9 months until the metal was removed, he took part in 14 contests with excellent results. He ran at least 100 km per week, together more than 3700 and classical marathons, 100 km runs and mountain marathons. When the metal was removed there was no sign of metallotic changes of the tissue at the interface between hook and plate.
authors.affiliation: Unfallchirurgische Abteilung, Städtische Kliniken Frankfurt am Main.
authors.forename: H
authors.initials: H
authors.lastname: Dittmer
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001860:Bone Plates; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D006801:Humans; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012420:Running / Q000293:injuries*; D013536:Suture Techniques / Q000295:instrumentation*; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries
vernacular_title: Die Sicherung der Syndesmosennaht durch den Syndesmosenhaken unter Extrembelastung durch einen Langstreckenläufer. Ein Fallbericht.