Objectives:Syndesmotic ligament sprains may result in significant time lost from sport and can lead to chronic pain and instability. While syndesmotic anatomy has been well-defined, quantitative radiographic guidelines for identifying the anatomic ligament attachment sites and tibiofibular cartilage surfaces have not been adequately defined. The purpose was to define quantitative radiographic guidelines for identifying the origins and insertions of the syndesmotic ligaments and tibiofibular articulating cartilage surfaces with respect to radiographic landmarks and standard reference lines.
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