This joint is held together by the anteroinferior tibiofibular ligament
(AITFL), posterior inferior tibiofibular ligament
(PITFL), and interosseous ligament (IOL).
The syndesmosis consists of the anteroinferior tibiofibular ligament
, posteroinferior tibiofibular ligament
, inferior transverse tibiofibular ligament
, and interosseous membrane.
Distal fibular fracture with diastasis of tibia, lateral dislocation of the talus, rupture of tibiofibular ligament
and displacement of the foot
Supination-everson (external rotation) (SER) 1 Disruption of the anterior tibiofibular ligament
2 Spiral oblique fracture of the distal fibula 3 Disruption of the posterior tibiofibular ligament
or fracture of the posterior malleolus 4 Fracture of the medial malleolus or rupture of the deltoid ligament III.
MRI showed complete avulsion injury of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) and partial tears of the posterior talofibular ligament, the anterior tibiofibular ligament
, and tearing of the interosseous membrane.
The ankle syndesmosis consists of an anterior and posterior tibiofibular ligament
at the level of the plafond and an interosseous ligament located 1cm above the tibial plafond and is a condensation of the interosseous membrane (Lundberg et al 1989).
10-12) The proximal third of the fibula has a fibrous synarthrosis with the lateral tibiotarsus by means of the interosseous ligament and is attached at the fibular crest by a bifurcated proximal tibiofibular ligament
The ankle syndesmosis is made up of four ligaments, including the anterior inferior tibiofibular ligament
(AITFL), the posterior inferior tibiofibular ligament
(PITFL), the transverse tibiofibular ligament
(TTFL), and the interosseous ligament (IOL), a distal extension of the interosseous membrane (Fig.
Active and passive ranges of ankle motion were pain free, with the exception of passive dorsiflexion, which caused him pain in the region of the anterior tibiofibular ligament
Tears of the posterior inferior tibiofibular ligament
The arc from the anterolateral ankle to the anteromedial ankle contains the anterior talofibular ligament, the distal portion of the anterior inferior tibiofibular ligament
, the anterior ankle joint capsule, and the tibiotalar (anterior) portion of the deltoid ligament (Fig.
81-85) Bassett and associates (86) reported on seven cases of chronic anterior ankle pain and impingement caused by the distal fascicle of the anteroinferior tibiofibular ligament
in patients who had suffered an inversion ankle sprain, an etiology of enduring anterolateral ankle pain also described by others.