Management of acute injuries of the tibiofibular syndesmosis

Nicholas M. Fort, Amiethab A. Aiyer, Jonathan R. Kaplan, Niall A. Smyth, Anish R. Kadakia*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations


The syndesmosis is important for ankle stability and load transmission and is commonly injured in association with ankle sprains and fractures. Syndesmotic disruption is associated with between 5 and 10% of ankle sprains and 11–20% of operative ankle fractures. Failure to recognize and appropriately treat syndesmotic disruption can portend poor functional outcomes for patients; therefore, early recognition and appropriate treatment are critical. Syndesmotic injuries are difficult to diagnose, and even when identified and treated, a slightly malreduced syndesmosis can lead to joint destruction and poor functional outcomes. This review will discuss the relevant anatomy, biomechanics, mechanism of injury, clinical evaluation, and treatment of acute injuries to the ankle syndesmosis.

Original languageEnglish (US)
Pages (from-to)449-459
Number of pages11
JournalEuropean Journal of Orthopaedic Surgery and Traumatology
Issue number4
StatePublished - May 1 2017


  • Ankle fractures
  • Ligament injury
  • Syndesmotic injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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