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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.
They are joined together by this ligament called the syndesmosis or syndesmotic ligament. Patients who sustain a high ankle sprain injure this syndesmotic ligament. Actions of twisting or rotation in sports, especially when the foot is turned towards the outside can be causes. The ligament can also be an associated injury with more common low ankle sprains and even ankle fractures.