Syndesmosis Injury From Diagnosis to Repair

Physical Examination, Diagnosis, and Arthroscopic-Assisted Reduction

Jeffrey Wake, DO; Kevin D. Martin, DO, FAAOS


J Am Acad Orthop Surg. 2020;28(13):517-527. 

In This Article


Implementing a standardized physical examination and radiographic workup allows for specific surgical planning. All surgical planning should focus on the incompetent structures, working proximal to distal, starting with the IOL utilizing SBF, then sagittal plane AITFL repair, and finally Deltoid repair as needed. After surgery, a functional rehabilitation with early weight-bearing is recommended. Further research and control trials are needed for more definitive evidence-based recommendations.