Revision 5 for 'Distal tibiofibular syndesmosis'

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Tibiofibular syndesmosis

The tibiofibular syndesmosis is a complex fibrous joint composed of multiple ligaments and a broad fibrous membrane that spans between the tibia and fibula throughout the length of both bones.

The distal osseous part of this syndesmotic joint includes the following four components:

  • distal anterior tibiofibular ligament (ATIFL)
  • distal posterior tibiofibular ligament (PTIFL)
  • transverse ligament
  • interosseous ligament

Related pathology

Approximately 5% (range 1-11%) of all ankle injuries involve the distal tibiofibular syndesmosis, which may lead to chronic instability and pain. 

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