Syndesmosis Injuries

  • George Tye Liu
  • Marque A. Allen


Injuries of the distal tibiofibular syndesmosis comprise approximately 1–18% of all ankle sprains and are involved in 10% of all ankle fractures.1 A low reported incidence may be due to poor sensitivity in identifying subtle widening of the syndesmosis on radiograph, as these injuries are often unnoticed in the absence of frank diastasis. Though they represent a low percentage of ankle injuries, syndesmotic injury is the single most predictive factor for long-term disability and chronic ankle pain regardless of grade.2 In athletes, syndesmosis injuries significantly increase the time to return to activity compared to lateral ankle sprains and can be a source of significant disability.


Deltoid Ligament Tibiofibular Ligament Lateral Ankle Sprain Syndesmotic Injury Tibiofibular Syndesmosis 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of Texas Southwestern Medical CenterDallasUSA
  2. 2.Texas Center for AthletesSan AntonioUSA

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