title: Juvenile wakeboarder locks ankle on shore.
abstract: This report presents an adolescent wakeboarder with persistent pain after conservative treatment of a Salter Harris type II distal fibular fracture. On physical examination the pain was localised over the anterior inferior tibiofibular ligament. Additional imaging revealed that this syndesmotic impingement was caused by a loose body caught in the syndesmotic area. The loose body was successfully removed from the anterior inferior tibiofibular ligament by anterior ankle arthroscopy. With functional aftertreatment, the patient had resumed full sports activities after 8 weeks. At 1-year follow-up there were no persistent symptoms.
authors.affiliation: Department of Orthopaedic Surgery, Academic Medical Center, PO Box 22700, 1100 DE Amsterdam, The Netherlands. m.n.vansterkenburg@amc.uva.nl
authors.forename: Maayke N
authors.initials: MN
authors.lastname: van Sterkenburg
authors.forename: Christiaan J A
authors.initials: CJ
authors.lastname: van Bergen
authors.forename: Gino M M J
authors.initials: GM
authors.lastname: Kerkhoffs
mesh_terms: D000293:Adolescent; D000843:Ankle Joint / Q000601:surgery*; D018771:Arthralgia / Q000209:etiology*; D001182:Arthroscopy; D001265:Athletic Injuries / Q000150:complications*; D002370:Casts, Surgical; D005360:Fibula / Q000293:injuries*; D050723:Fractures, Bone / Q000150:complications* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007594:Joint Loose Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D010808:Physical Examination; D013177:Sports; D013585:Synovitis / Q000209:etiology; D036542:Tomography, Spiral Computed; D014867:Water
chemical_list: D014867:Water
references.citation: Sports Med Arthrosc Rev. 2009 Sep;17(3):175-84
references.pmid: 19680114
references.citation: Arthroscopy. 2001 Oct;17(8):836-43
references.pmid: 11600981
references.citation: Am J Sports Med. 2004 Jan-Feb;32(1):164-73
references.pmid: 14754740
references.citation: J Am Acad Orthop Surg. 2008 Nov;16(11):635-46
references.pmid: 18978286
references.citation: Ned Tijdschr Geneeskd. 1996 Nov 23;140(47):2337-41
references.pmid: 8984397
references.citation: Arthroscopy. 2005 Nov;21(11):1370
references.pmid: 16325090
references.citation: J Bone Joint Surg Br. 2003 Apr;85(3):324-9
references.pmid: 12729102
references.citation: Foot Ankle Int. 1999 Nov;20(11):744-51
references.pmid: 10582853
references.citation: Am J Sports Med. 2005 Jul;33(7):1065-70
references.pmid: 15888722
references.citation: Arthroscopy. 1997 Feb;13(1):90-6
references.pmid: 9043610
references.citation: Foot Ankle. 1990 Jun;10(6):325-30
references.pmid: 2113510