top of page
Search

Ankle Syndesmosis Injuries

Updated: Dec 26, 2023



The ankle syndesmosis is a joint at the distal (bottom end) of your shin which joins the fibula to the tibia above the ankle with a group of ligaments. The typical mechanism of syndesmosis injuries or “high ankle sprains”, is usually a combination of ankle dorsiflexion and external rotation (upward and outward movements of the foot) along with compression, whilst the foot is fixed to the ground. This may or may not also involve an opponent, classifying it as a contact or non-contact injury.


Ankle Syndesmosis Injuries Symptoms


Syndesmosis injuries will usually not display a large amount of swelling on the outside of the ankle (like a lateral ankle sprain); however, patients will complain of pain above the outside of their ankle.


Ankle Syndesmosis Injuries Classifications

Syndesmosis injuries are described as grade 1, grade 2a, grade 2b and grade 3. Grade 1 and 2a injuries are usually classified as stable, whereas grade 2b and grade 3 injuries are unstable. This classification is determined by what specific ligaments forming the ankle syndesmosis are damaged which in turn, determine the stability of the joint. In some cases, you may be required to undergo certain imaging to aid this classification.


Syndesmosis Injuries Treatment


The stability of the syndesmosis guides the treatment of such injuries. Stable syndesmosis injuries can be treated with conservative management alone. This usually involves an initial immobilisation and non-weightbearing period with a CAM/moon boot followed by rehabilitation. If the syndesmosis injury results in an instability, surgery is usually required to restore the stability of the ankle syndesmosis followed by rehabilitation.


If you have sustained an ankle syndesmosis injury or have an ankle injury which is taking a longer period of time to improve, touch base with one of our one of our Physios in North Adelaide to help with the assessment and treatment of your ankle injury.


Luke Chetcuti

Physiotherapist

32 views0 comments

Comments


Disclaimer:

The information contained within this website is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. Body Fit makes every effort to ensure the quality of information available on this website, however, before relying on the information on the website the user should carefully evaluate its accuracy, currency, completeness and relevance for their purposes and should obtain appropriate professional advice relevant to their particular personal circumstances. Body Fit advise that you should always seek the advice of your physiotherapist, doctor or other qualified health provider with respect to any questions regarding any medical condition. The website may contain hyperlinks to external websites, which are not maintained by, or related to, Body Fit. Hyperlinks to such sites are provided as a service to readers, and while care is taken in selecting external websites, it is the responsibility of the reader to make their decisions about the accuracy and reliability of the information contained in the external website. Hyperlinks to any external websites do no imply endorsement by Body Fit. Body Fit does not accept any liability for any injury, loss or damage incurred by the use or reliance on the information provided in this website.

bottom of page