According to Hunt (2013) almost 25% of all ankle sprains affected the ankle syndesmosis. As the average recovery time is described to be more than 4 times longer with a syndesmosis injury compared to an ankle trauma that doesn’t involve the syndesmosis, it’s important to evaluate its integrity.
According to a study done by Sman et al. (2015), local tenderness of the syndesmosis ligaments upon palpation was reported with a sensitivity of 92% and a specificity of 29%. For this reason, this test has a moderate clinical value to exclude syndesmotic injuries but is not helpful to confirm it.
To conduct this test, first, palpate the anterior inferior tibiofibular ligament between the talus and the fibula and continue to palpate more proximally for the interosseus ligament and membrane. Tenderness on the interosseous membrane is associated with a prolonged recovery time and a more severe injury.
Then palpate the transverse ligament posteriorly and inferiorly between the tibia and the fibula and move a little more proximally to palpate the posterior tibiofibular ligament.
This palpation test is positive if tenderness or pain is reproduced on any of the four anatomical structures.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common orthopedic tests for syndesmosis injuries are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
This content is for members
Create your free account to gain access to this exclusive content and more!
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.