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Updated: Jun 13, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Juvenile wakeboarder locks ankle on shore
Maayke N van Sterkenburg1, Christiaan J A van Bergen, Gino M M J Kerkhoffs
1Department of Orthopaedic Surgery, Academic Medical Center, PO Box 22700, 1100 DE Amsterdam, The Netherlands. m.n.vansterkenburg@amc.uva.nl
Summary
A loose body caused persistent pain in an adolescent wakeboarder's ankle after a Salter Harris type II distal fibular fracture. Anterior ankle arthroscopy successfully removed the body, allowing a full return to sports within 8 weeks.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Orthopedics
Background:
- Salter Harris type II distal fibular fractures are common in adolescents.
- Persistent pain after conservative treatment warrants further investigation.
Observation:
- An adolescent wakeboarder presented with localized anterior ankle pain post-fracture.
- Physical examination identified tenderness over the anterior inferior tibiofibular ligament.
- Imaging revealed a loose body impinging the syndesmosis.
Findings:
- Syndesmotic impingement due to a loose body was diagnosed.
- Anterior ankle arthroscopy effectively removed the loose body.
- The patient experienced complete symptom resolution and returned to full sports activity.
Implications:
- Loose bodies can cause persistent pain after ankle fractures, even with initial conservative treatment.
- Arthroscopic intervention is a viable treatment for syndesmotic impingement.
- Early diagnosis and treatment facilitate a rapid return to high-level sports activities in adolescent athletes.
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