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Syndesmotic Rupture Without Ankle Fracture

A Report of Two Cases in Professional Football Players

Ty Endean, DO^*, Warren King, MD^* and H. Rod Martin, ATC, MA

^* Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.
Head Trainer, Oakland Raiders, Oakland, CA.

Corresponding author: Warren King, MD, Department of Sports Medicine, Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301.

Abstract

Two patients with syndesmotic rupture without fracture are presented to demonstrate that ligamentous injury to the distal syndesmosis can occur as an isolated injury. In both cases diagnosis was delayed owing to a negative radiograph on the day of injury. Comprehensive follow-up is imperative to correctly diagnose this injury pattern. (J Am Podiatr Med Assoc 93(4): 336-339, 2003)

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