Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

Ā© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Trauma
intermediate
X-Type

Ankle Fracture Syndesmosis Assessment

Ankle Fractures

A 28-year-old woman presents after twisting her ankle during a basketball game. She has significant swelling over the lateral ankle and tenderness along the entire length of the fibula. Radiographs reveal an oblique fracture of the fibula at the level of the syndesmosis with a widened medial clear space. Regarding ankle fractures and syndesmosis assessment:

Mark each as TRUE or FALSE

A

The Weber classification is based on fibular fracture level relative to the syndesmosis: Type A (bel...

B

The syndesmosis consists of the anterior inferior tibiofibular ligament (AITFL), posterior inferior ...

C

Weber A fractures always have syndesmosis injury; the PITFL is the weakest syndesmotic ligament; med...

D

Radiographic assessment includes medial clear space (normal less than 4mm or equal to superior joint...

E

Treatment of syndesmosis injuries includes anatomic reduction of the fibula (length, rotation, align...

Answer the questions to see explanations

Click T (True) or F (False) for each option