Syndesmosis injuries

Marieke De Vaal*, Wouter van Zuuren, Michel P.J. van den Bekerom, Bas A.C.M. Pijnenburg

*Corresponding author for this work

Research output: Chapter in Book / Report / Conference proceedingChapterAcademicpeer-review


The distal tibiofibular syndesmosis is essential for the stability of the ankle mortise. Injury to the distal tibiofibular syndesmosis can lead to mortise instability and should be treated with syndesmotic stabilization to prevent long-term complications and degenerative osteoarthritis. Syndesmotic injuries can occur in isolation but are often accompanied by a fracture and are most commonly due to external rotation trauma of the foot. Diagnosing syndesmotic injury can be challenging and should include a complete anamnesis and physical examination. Radiological evaluation can be of assistance but cannot be completely relied on. Treatment intends to restore the tibiofibular stability. A number of treatment options have been described of which the syndesmotic screw is the most widely used. There is no consensus on the number and diameter of screws, the number of cortices, the location of placement, and the after treatment.

Original languageEnglish
Title of host publicationSports Injuries
Subtitle of host publicationPrevention, Diagnosis, Treatment and Rehabilitation, Second Edition
PublisherSpringer Berlin / Heidelberg
Number of pages12
ISBN (Electronic)9783642365690
ISBN (Print)9783642365683
Publication statusPublished - 1 Jan 2015
Externally publishedYes


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