Distal Tibiofibular Syndesmosis: Anatomy, Biomechanics, Injury and Management
Chi Pan Yuen1, *, Tun Hing Lui2
Identifiers and Pagination:Year: 2017
Issue: Suppl-4, M7
First Page: 670
Last Page: 677
Publisher Id: TOORTHJ-11-670
Article History:Received Date: 16/1/2016
Revision Received Date: 21/7/2016
Acceptance Date: 23/7/2016
Electronic publication date: 31/07/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A stable and precise articulation of the distal tibiofibular syndesmosis is essential for normal motion of the ankle joint. Injury to the syndesmosis occurs through rupture or bony avulsion of the syndesmotic ligament complex. External rotation of the talus has been identified as the major mechanism of syndesmotic injury. None of the syndesmotic stress tests was sensitive or specific; therefore the diagnosis of syndesmotic injury should not be made based on the medical history and physical examination alone. With the improvement in ankle arthroscopic technique, it can be used as a diagnostic and therapeutic tool in the management of distal tibiofibular syndesmosis injury.