Evaluating the Effectiveness of Gravity-Assisted Ankle Stress AP Imaging in Detecting Syndesmosis Injuries: A Retrospective Clinical Study.

ABSTRACT: Background: While gravity-assisted ankle stress AP (GAASA) images have proven effective in evaluating deep deltoid ligament injuries, their efficacy in assessing syndesmosis injuries remains unclear. We aimed to investigate the diagnostic performance of GAASA images in detecting syndesmosis injuries. Methods: This study reviewed records of patients aged 16+ with unilateral ankle fractures in a single-center ER from 2022 to 2023. Three orthopedic surgeons evaluated standard AP and lateral X-rays, ankle mortise, and GAASA and bilateral ankle CT images in blinded sessions for syndesmosis injuries. Evaluations were repeated to assess the inter- and intra-rater reliability. Results: A total of 121 patients with suspected syndesmosis injuries were included in this study. The

SUBMITTER: Kemah B 

PROVIDER: S-EPMC12610165 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature