Distal tibiofibular syndesmosis
Citation, DOI, disclosures and article data
At the time the article was created Matthew Jarvis had no recorded disclosures.
View Matthew Jarvis's current disclosuresAt the time the article was last revised David Luong had no financial relationships to ineligible companies to disclose.
View David Luong's current disclosures- Distal tibiofibular joint
- Tibiofibular syndesmosis
The tibiofibular syndesmosis is a complex fibrous joint composed of multiple ligaments and a broad fibrous interosseous membrane that spans between the tibia and fibula throughout the length of both bones. It is an important structure for ankle stability 1.
Gross anatomy
The distal osseous part of this syndesmotic joint includes the following four components:
Related pathology
distal tibiofibular syndesmotic injury: ~5% (range 1-11%) of all ankle injuries involve the distal tibiofibular syndesmosis, which may lead to chronic instability and pain
Weber ankle fractures: syndesmotic injuries occur in approximately 50% of Weber B fractures, and in all of Weber C fractures. It does not occur in Weber A fractures as the fracture is below the level of the tibiofibular syndesmosis 1
Quiz questions
References
- 1. Hermans JJ, Beumer A, de Jong TA et-al. Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach. J. Anat. 2011;217 (6): 633-45. Free text at pubmed - Pubmed citation
Related articles: Anatomy: Lower limb
- skeleton of the lower limb
- joints of the lower limb
-
hip joint
- ligaments
- muscles
- additional structures
- hip joint capsule
- zona orbicularis
- iliotibial band
-
hip bursae
- anterior
- iliopsoas bursa (iliopectineal bursa)
- lateral
- subgluteal bursae
- greater trochanteric bursa (subgluteus maximus bursa)
- subgluteus medius bursa
- subgluteus minimus bursa
- gluteofemoral bursa
- subgluteal bursae
- postero-inferior
- anterior
- ossification centers
-
knee joint
- ligaments
- anterior cruciate ligament
- posterior cruciate ligament
- medial collateral ligament
- lateral collateral ligament
- meniscofemoral ligament (mnemonic)
-
posterolateral ligamentous complex
- arcuate ligament
- patellar tendon and quadriceps tendon
- anterolateral ligament
- posterior oblique ligament
- oblique popliteal ligament
- medial patellofemoral ligament
- additional structures
- extensor mechanism of the knee
- groove for the popliteus tendon
- knee bursae
- anterior bursae
- medial bursae
- lateral bursae
- posterior bursae
- knee capsule
- lateral patellar retinaculum
- medial patellar retinaculum
- menisci
- pes anserinus (mnemonic)
- ossification centers
- ligaments
- tibiofibular joints
-
ankle joint
- regional anatomy
- medial ankle
- lateral ankle
- anterior ankle
- ligaments
- medial collateral (deltoid) ligament
- lateral collateral ligament
- additional structures
- ankle bursae
- ossification centers of the ankle
- variants
- regional anatomy
- foot joints
- subtalar joint
- mid-tarsal (Chopart) joint
-
tarsometatarsal (Lisfranc) joint
- ligaments
- intermetatarsal joint
- metatarsophalangeal joint
- interphalangeal joint
- ossification centers
-
hip joint
- spaces of the lower limb
-
muscles of the lower limb
- muscles of the pelvic group
- muscles of the thigh
- muscles of the leg
- anterior compartment of the leg
- posterior compartments of the leg
- lateral compartment of the leg
- muscles of the foot
- dorsal muscles
- plantar muscles
- 1st layer
- 2nd layer
- 3rd layer
- 4th layer
- accessory muscles of the lower limb
- accessory gluteal muscles
-
accessory muscles of the ankle
- accessory peroneal muscles
- accessory flexor digitorum longus muscle
- accessory soleus muscle
- peroneocalcaneus internus muscle
- tibiocalcaneus internus muscle
- extensor hallucis capsularis tendon
- anterior fibulocalcaneus muscle
- accessory extensor digiti secundus muscle
- tibioastragalus anticus of Gruber muscle
- vascular supply of the lower limb
- arterial supply of the lower limb
- venous drainage of the lower limb
- innervation of the lower limb
- lymphatic system of the lower limb
- lymphatic pathways
- anteromedial group
- anterolateral group
- posteromedial group
- posterolateral group
- lower limb lymph nodes
- lymphatic pathways