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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 distal tibia and fibula are held tightly together by the syndesmosis membrane, and the anterior and posterior tibiofibular ligaments. A syndesmotic sprain or high ankle sprain is an injury to the distal tibiofibular syndesmosis with possible disruption of the distal tibiofibular ligaments and interosseous membrane.A high ankle sprain usually occurs in combination with medial ligament injuries and/or distal tibia/fibula fractures. syndesmosis joint is a type of joint that is held together by dense fibrous tissue. There are several in the body. In the lower leg/ankle, the distal tibia/fibula joint is considered a syndesmosis joint because the tibia and fibula are held together by an interosseous membrane that extends the length of the bones.