Diagnosis of syndesmosis injuries by physical examination is often straightforward. Injuries to the ankle syndesmosis are commonly known as a "high ankle sprain". Patients with high-grade syndesmosis injuries often cannot perform a single-leg heel raise. He fractured the fibula in his right ankle and also sustained a syndesmosis injury. A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. Syndesmosis procedure is one of the more than 20 bunion surgeries currently being performed.