Signs & Symptoms indicative of syndesmosis injury that should be asked during patient history-taking are:
|
Sensitive Signs & Symptoms |
Specific Signs & Symptoms |
|
Inability to walk |
Pain out of proportion to the apparent injury |
| Inability to hop |
Pain felt in the shank or knee during injury |
| Mechanism of injury: Dorsiflexion-External Rotation Trauma |
|
Study |
Reliability | Sn | Sp | LR+ |
LR- |
|
Sman et al. (2015): Inability to walk |
NA | 89 | 21 | 1.13 | 0.51 |
|
Sman et al. (2015): Inability to hop |
NA | 89 | 29 | 1.25 | 0.37 |
|
Sman et al. (2015): DF/Ext Trauma |
NA | 83 | 22 | 1.07 | 0.77 |
| Sman et al. (2015): Pain out of proportion | NA | 65 | 79 | 3.05 |
0.45 |
|
Sman et al. (2015): Pain felt in the shank or knee during injury |
NA | 50 | 70 | 1.68 |
0.71 |
| Comment: Individual items have a low accuracy as stand-alone questions. Clustering questions are moderately helpful to in and exclude a syndesmosis injury | |||||
