MRI of the distal tibiofibular joint

Skeletal Radiol. 2020 Jan;49(1):1-17. doi: 10.1007/s00256-019-03260-7. Epub 2019 Jul 9.


The distal tibiofibular joint is a fibrous joint that plays a crucial role in the stability of the ankle joint. It is stabilized by three main ligaments: the anterior inferior tibiofibular ligament, the posterior inferior tibiofibular ligament, and the interosseous tibiofibular ligament, which are well delineated on magnetic resonance imaging. Pathology of the distal tibiofibular joint is mostly related to trauma and the longer-term complications of trauma, such as soft tissue impingement, heterotopic ossification, and synostosis. This review article outlines the MRI anatomy and pathology of this joint.

Keywords: Distal tibiofibular joint; Distal tibiofibular syndesmosis; Magnetic resonance imaging; Magnetic resonance imaging of the distal tibiofibular joint.

Publication types

  • Review

MeSH terms

  • Ankle Injuries / diagnosis
  • Ankle Injuries / diagnostic imaging*
  • Ankle Joint / anatomy & histology*
  • Ankle Joint / diagnostic imaging*
  • Arthrography / methods
  • Chronic Disease
  • Humans
  • Ligaments, Articular / anatomy & histology
  • Ligaments, Articular / diagnostic imaging*
  • Ligaments, Articular / injuries
  • Magnetic Resonance Imaging / methods*
  • Patient Positioning