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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.
Injury to the syndesmosis, the thick ligaments connecting the distal tibia. and fibula, occurs in approximately five percent of all ankle sprain. This injury is. often referred to as a âhighâ ankle sprain. Recovery time from this injury is greatly. increased compared to that of a simple âlowerâ ankle sprain.