Current Reviews in Musculoskeletal Medicine

, Volume 6, Issue 4, pp 304–312 | Cite as

Syndesmosis injuries

Foot and Ankle (SG Parekh, Section Editor)


Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to the body of knowledge pertaining to injury mechanics and treatment outcomes, but there remain a number of controversies regarding diagnostic tests, implants, techniques, and postoperative protocols. Use of the novel suture button device has increased in recent years and shows some promise in clinical and cadaveric studies. This article contains a review of syndesmosis injuries, including anatomy and biomechanics, diagnosis, classification, and treatment options.


Syndesmosis injury High ankle sprain Pronation external rotation Sports injury TightRope Syndesmotic screws 


Compliance with Ethics Guidelines

Conflict of Interest

Kenneth J. Hunt declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryStanford UniversityRedwood CityUSA

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