A syndesmosis injury is most commonly due to an external rotation mechanism of injury (i.e.
Symptoms
As mentioned, syndesmosis injuries often occur in conjunction with ankle injuries.
Therefore, anyone with anankle sprainor fracture should also be evaluated for a possible injury to the syndesmosis.
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The average time to return to sport ranges between four and eight weeks..
This typically requires surgical reduction and internal fixation to stabilize the joint.
Surgery is often performed to repair the fracture or to stabilize the syndesmosis, and sometimes both.
These screws must be positioned once the syndesmosis has been placed in proper position and alignment.
If the screws are not removed, they will eventually loosen or break.
It is important to confer with an orthopedic specialist to treat a high ankle sprain injury.
They can be managed conservatively or with surgery, followed by rehabilitation.
Hunt KJ.Syndesmosis injuries.Curr Rev Musculoskelet Med.
2014;5:173-82. doi:10.2147/OAJSM.S41564
Chronic Ankle Instability: What to Do When A Sprained Ankle Wont Heal.
The High Ankle Sprain: What’s the Difference?.
Hospital for Special Surgery.
2017;3(1):e000175.
2011;131(7):879-83. doi:10.1007/s00402-010-1225-x