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Management of High Ankle Sprain
J Korean Foot Ankle Soc 2018;22:145-150
Published online December 15, 2018;
© 2018 Korean Foot and Ankle Society

Kwi Youn Choi, Jun Young Lee

Department of Orthopaedic Surgery, School of Medicine, Chosun University, Gwangju, Korea
Correspondence to: Jun Young Lee
Department of Orthopaedic Surgery, Chosun University Hospital, 365 Pilmundaero, Dong-gu, Gwangju 61453, Korea
Tel: 82-62-220-3147, Fax: 82-62-226-3379, E-mail:
Received October 16, 2018; Revised October 28, 2018; Accepted October 28, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
High ankle sprain (distal tibiofibular syndesmosis injury) occurs from rotational injuries, specifically external rotation, and may be associated with ankle fractures. The prevalence of these injuries may be higher than previously reported because they may be missed in an initial examination. Syndesmosis injury can lead to significant complications in injured ankle joints, so a precise physical examination and radiological evaluation is necessary. The most important treatment goal is to have the tibia and fibula located in the correct position with respect to each other and to heal in that position. The methods to fix these injuries is controversial.
Keywords : Ankle, Syndesmosis, Tibiofibular joint

December 2018, 22 (4)