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A syndesmosis is defined as a fibrous joint in which two adjacent bones are linked by a strong membrane or ligaments.This definition also applies for the distal tibiofibular syndesmosis, which is a syndesmotic joint formed by two bones and four ligaments.
High ankle sprain (syndesmosis sprain). 1  This is one in which the ligament above the ankle joint is torn. 2  This ligament links the two bones of the lower leg (the tibia and fibula). 3  It is particularly seen in sports such as skiing and football where injury results from going 'over' on the ankle at speed.