In an ankle syndesmosis injury, at least one of the ligaments connecting the tibia and fibula bones (the lower leg bones) is sprained. This type of injury is sometimes called a high ankle sprain because it involves the ligaments above the ankle joint. As a result, the ligaments on the outside of the ankle are stretched and possibly torn.Ī severe form of ankle sprain, called an ankle syndesmosis injury, involves damage to other supportive ligaments in the ankle. This forces all the pressure of your body weight onto the outside edge of the ankle. In an inversion injury the ankle tilts inward, meaning the bottom of the foot angles toward the other foot. The lateral ligaments are by far the most commonly injured ligaments in a typical inversion injury of the ankle. The ligament is weakened by the injury how much it is weakened depends on the degree of the sprain. A tear may be either a complete tear of all the strands of the ligament or a partial tear of only some of the strands. A sprain results in stretching or tearing of the ligaments. A ligament is made up of multiple strands of connective tissue, similar to a nylon rope.
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