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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.
1 Medial collateral ligament (MCL) - prevents lateral movement of the tibia on the femur when valgus (away from the midline) stress is placed on the knee.2  Runs between the medial epicondyle of the femur and the anteromedial aspect of the tibia. 3  Also has a deep attachment to the medial meniscus. Medial collateral ligament (MCL) - prevents lateral movement of the tibia on the femur when valgus (away from the midline) stress is placed on the knee.