The purpose of this study was to quantitatively describe the locations of the syndesmotic ligaments and the tibiofibular articulating cartilage surfaces on standard radiographic views using reproducible radiographic landmarks and reference axes. Quantitative radiographic guidelines describing the locations of the primary syndesmotic structures demonstrated excellent reliability and reproducibility. Defined guidelines provide additional clinically relevant information regarding the radiographic anatomy of the syndesmosis and may assist with preoperative planning, augment intraoperative navigation, and provide additional means for objective postoperative assessment.

Radiographic Identification of the Primary Structures of the Ankle Syndesmosis