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Syndesmosis Ligament Injury, Ankle
Corrie M. Yablon, MD; Julia R. Crim, MD; Kirkland W. Davis, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Anterior inferior tibiofibular ligament (AITFL)
                • Posterior inferior tibiofibular ligament (PITFL)
              • Synonyms

                • High ankle sprain, syndesmosis injury

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Relevant Anatomy

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Anand Prakash A: Anatomy of ankle syndesmotic ligaments: a systematic review of cadaveric studies. Foot Ankle Spec. 13(4):341-50, 2020
                                        2. Krähenbühl N et al: Imaging in syndesmotic injury: a systematic literature review. Skeletal Radiol. 47(5):631-48, 2018
                                        3. Michelson JD et al: Syndesmotic ankle fractures. J Orthop Trauma. 32(1):10-4, 2018
                                        4. Hunt KJ et al: High ankle sprains and syndesmotic injuries in athletes. J Am Acad Orthop Surg. 23(11):661-73, 2015
                                        5. van Vlijmen N et al: Long-term results after ankle syndesmosis injuries. Orthopedics. 38(11):e1001-6, 2015
                                        6. Miller TL et al: Evaluation and treatment recommendations for acute injuries to the ankle syndesmosis without associated fracture. Sports Med. 44(2):179-88, 2014
                                        7. Elgafy H et al: Computed tomography of normal distal tibiofibular syndesmosis. Skeletal Radiol. 39(6):559-64, 2010
                                        8. Cheung Y et al: MRI of isolated distal fibular fractures with widened medial clear space on stressed radiographs: which ligaments are interrupted? AJR Am J Roentgenol. 192(1):W7-12, 2009
                                        9. Han SH et al: Chronic tibiofibular syndesmosis injury: the diagnostic efficiency of magnetic resonance imaging and comparative analysis of operative treatment. Foot Ankle Int. 28(3):336-42, 2007
                                        10. Brown KW et al: MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol. 182(1):131-6, 2004
                                        11. Oae K et al: Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology. 227(1):155-61, 2003
                                        12. Vogl TJ et al: Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis. Invest Radiol. 32(7):401-9, 1997
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Anterior inferior tibiofibular ligament (AITFL)
                                                      • Posterior inferior tibiofibular ligament (PITFL)
                                                    • Synonyms

                                                      • High ankle sprain, syndesmosis injury

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Relevant Anatomy

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Anand Prakash A: Anatomy of ankle syndesmotic ligaments: a systematic review of cadaveric studies. Foot Ankle Spec. 13(4):341-50, 2020
                                                                              2. Krähenbühl N et al: Imaging in syndesmotic injury: a systematic literature review. Skeletal Radiol. 47(5):631-48, 2018
                                                                              3. Michelson JD et al: Syndesmotic ankle fractures. J Orthop Trauma. 32(1):10-4, 2018
                                                                              4. Hunt KJ et al: High ankle sprains and syndesmotic injuries in athletes. J Am Acad Orthop Surg. 23(11):661-73, 2015
                                                                              5. van Vlijmen N et al: Long-term results after ankle syndesmosis injuries. Orthopedics. 38(11):e1001-6, 2015
                                                                              6. Miller TL et al: Evaluation and treatment recommendations for acute injuries to the ankle syndesmosis without associated fracture. Sports Med. 44(2):179-88, 2014
                                                                              7. Elgafy H et al: Computed tomography of normal distal tibiofibular syndesmosis. Skeletal Radiol. 39(6):559-64, 2010
                                                                              8. Cheung Y et al: MRI of isolated distal fibular fractures with widened medial clear space on stressed radiographs: which ligaments are interrupted? AJR Am J Roentgenol. 192(1):W7-12, 2009
                                                                              9. Han SH et al: Chronic tibiofibular syndesmosis injury: the diagnostic efficiency of magnetic resonance imaging and comparative analysis of operative treatment. Foot Ankle Int. 28(3):336-42, 2007
                                                                              10. Brown KW et al: MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol. 182(1):131-6, 2004
                                                                              11. Oae K et al: Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology. 227(1):155-61, 2003
                                                                              12. Vogl TJ et al: Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis. Invest Radiol. 32(7):401-9, 1997