What Exactly is a High Ankle Sprain?
Published: Jun 22, 2024
A high ankle sprain, or syndesmotic ankle sprain, is a unique type of injury that affects the ligaments above the ankle joint. It's more severe than the typical ankle sprain and can lead to significant pain and mobility issues.
Contents
Understanding High Ankle Sprains
High ankle sprains occur when the ligaments connecting the tibia and fibula are injured, usually due to a twisting force. This type of sprain is less common than lateral ankle sprains but often results in more serious complications. The ligaments involved are crucial for stabilizing the ankle joint during activities.
Who is at Risk?
Athletes, especially those in contact sports like football and hockey, are at higher risk of high ankle sprains. The injury often happens during high-intensity activities where the foot is planted, and the leg is twisted. Male athletes and those participating in winter sports also face increased risk.

Symptoms and Diagnosis
Symptoms include pain above the ankle, swelling, and difficulty bearing weight. Diagnosing this injury can be challenging, as it requires a combination of physical examination and imaging tests. MRI is often used to confirm the extent of the injury.
Frequently Asked Questions
It's an injury to the ligaments above the ankle joint.
Athletes in contact sports like football and hockey.
Through physical exams and imaging tests like MRI.
Yes, it can result in significant mobility issues.
Key Takeaways
Understanding and properly diagnosing high ankle sprains is crucial for effective treatment.
References
- Vosseller JT, Karl JW, Greisberg JK. Incidence of syndesmotic injury. Orthopedics 2014; 37:e226.
- Mauntel TC, Wikstrom EA, Roos KG, et al. The Epidemiology of High Ankle Sprains in National Collegiate Athletic Association Sports. Am J Sports Med 2017; 45:2156.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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