An Update on the Management of Acute Isolated Syndesmosis Injuries

This article provides an updated overview of syndesmosis pathology and management. It discusses the anatomy, biomechanics, classification, and treatment of syndesmosis injuries, emphasizing the challenges in distinguishing stable from unstable injuries. Diagnostic approaches, including clinical examination, imaging, and arthroscopic evaluation, are reviewed. Treatment strategies are outlined, with a focus on conservative management for stable injuries and surgical intervention for unstable cases. Recent developments in surgical techniques, including the use of suture button devices and direct ligament repair, are highlighted. It also addresses postoperative management and rehabilitation protocols, providing a guide for clinicians managing syndesmosis injuries in athletes and nonathletes alike.