ANKLE SYNDESMOSIS

If you’ve suffered from a serious ankle sprain, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

Foot and Ankle Specialists consider an ankle sprain “syndesmotic” if the injury damages the ligaments of the distal tibiofibular syndesmosis; otherwise known as a “high ankle sprain.” Lateral ankle sprains occur more commonly than Syndesmotic Sprains. However, high ankle sprains cause more pain above the ankle joint. Morevoer, Syndesmotic injuries can sometimes evade diagnosis. However, physicians may consider the possibility of a Syndesmotic injury in athletes presenting pain around the upper ankle and lower leg.

What Is Ankle Syndesmosis?

The ankle syndesmosis consists of a group of ligaments that connect the tibia (shinbone) and fibula (the smaller bone in the lower leg) in the ankle joint. These ligaments play a crucial role in providing stability and maintaining the proper alignment of the ankle. Additionally, they include the anterior inferior tibiofibular ligament, the posterior inferior tibiofibular ligament, and the interosseous ligament. Together, these ligaments keep the tibia and fibula in proper alignment and prevent excessive movement between the two bones. Furthermore, injuries to the ankle syndesmosis typically result from high-force or rotational impacts to the ankle. Some include those occurring during sports activities or traumatic accidents. These injuries can range from mild sprains to more severe disruptions of the syndesmosis ligaments.

Indications Of Ankle Syndesmosis

Indications of ankle syndesmosis, also known as high ankle sprain, include specific symptoms and signs that differentiate it from typical ankle sprains. This injury affects the syndesmotic ligaments that connect the tibia and fibula bones in the lower leg. Symptoms often include pain above the ankle joint, particularly felt during weight-bearing activities or when rotating the foot outward. Swelling and tenderness are common along the lower leg and ankle, sometimes accompanied by bruising.

Diagnosis typically involves physical examination, imaging such as X-rays or MRI scans, and stress tests to assess the stability of the syndesmotic ligaments. Treatment varies depending on the severity, ranging from conservative measures like rest, ice, compression, and elevation (RICE therapy), to more intensive options like immobilization with a boot or surgical intervention to repair torn ligaments.

Early recognition and appropriate management of ankle syndesmosis are crucial to prevent long-term instability and facilitate optimal recovery of ankle function and mobility.

Treatment For Ankle Syndesmosis

Treatment for ankle syndesmosis, also known as high ankle sprain, depends on the severity of the injury. In mild cases, conservative measures such as rest, ice, compression, and elevation (RICE therapy) are typically recommended to reduce swelling and pain. Non-steroidal anti-inflammatory drugs (NSAIDs) may be used to alleviate discomfort and inflammation.

For moderate to severe cases where the syndesmotic ligaments are significantly stretched or torn, immobilization with a walking boot or cast may be necessary to allow proper healing and prevent further damage. Physical therapy is essential in the rehabilitation process, focusing on exercises to restore range of motion, strengthen the ankle muscles, and improve joint stability.

In some instances, surgical intervention may be required to repair or stabilize the damaged ligaments, especially if there is persistent pain or instability. Post-surgical rehabilitation involves a structured program to regain strength and function in the ankle. This aims to facilitate a full recovery and return to normal activities. Early and appropriate treatment is crucial in managing ankle syndesmosis effectively and preventing long-term complications.

Rest and Recovery

Recovery time for ankle syndesmosis injuries can vary depending on the severity of the injury and the chosen treatment approach. It typically involves a period of immobilization followed by a gradual return to weight-bearing activities and rehabilitation exercises aimed at restoring strength, stability, and range of motion. It’s essential to note that recovery time can vary depending on individual factors, treatment approach, and severity of the injury. Moreover, recovery can range from several weeks to several months, especially in cases requiring surgery. During the recovery period, it’s crucial to adhere to healthcare professional’s instructions, including the use of prescribed immobilization devices (such as a cast, brace, or walking boot). Some other instruction can include weight-bearing restrictions, and regular attendance at rehabilitation sessions.

Moreover, ankle syndesmosis injuries may have long-term implications, such as an increased risk of chronic ankle instability or post-traumatic arthritis. Thus, it’s vital to undergo proper evaluation, receive appropriate treatment, and adhere to rehabilitation protocols to optimize outcomes and minimize the risk of future complications.

If you would like to speak to an Orthopedic Foot and Ankle Specialist, give us a call at 817-697-4038, or contact us over the web. Telemedicine appointments are also available.