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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.
The internal layer is the synovial membrane (loose connective tissue proper) which covers all internal joint surfaces that are not hyaline cartilage. Synovial joints are reinforced by a number of ligaments. Ligaments are bands of dense regular connective tissue proper that connect bones to other bones.