title: Management of syndesmosis injuries in the elite athlete.
abstract: This article reviews the basics and evidence base thus far on syndesmosis injuries, focusing on its management in the elite sporting population. A syndesmosis injury or "high ankle sprain" is a significant injury, especially in the elite athlete. Among all ankle sprains, the syndesmotic injury is most predictive of persistent symptoms in the athletic population. Late diagnosis of unstable syndesmosis injuries leads to a poor outcome and delayed return to sports. A high index of suspicion and an understanding of the mechanism of injury is required to ensure an early diagnosis. Incomplete/inaccurate reduction leads to a poor outcome.
authors.affiliation: Department of Orthopaedics, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Republic of Singapore.
authors.forename: May Fong
authors.initials: MF
authors.lastname: Mak
authors.forename: Louise
authors.initials: L
authors.lastname: Gartner
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Pearce
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000601:surgery; D000843:Ankle Joint / Q000601:surgery*; D056352:Athletes; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery