[Distal tibiofibular syndesmosis injury in athletes]

Injuries of the distal tibiofibular syndesmosis are a common cause of ankle pain in athletes. Although less frequent than lateral sprains, they are associated with greater functional impact, prolonged recovery time, and increased risk of complications if not properly diagnosed. Diagnosis is based on a good understanding of the mechanism of trauma, a focused clinical examination, and judicious use of imaging, particularly MRI. Treatment may be conservative or surgical, depending on the degree of instability. The general practitioner plays a key role in diagnostic suspicion, referral for appropriate tests, and therapeutic follow-up to optimize recovery and prevent long-term functional sequelae.