Syndesmosis Ligament Palpation for Ankle Syndesmosis Injury Ankle syndesmosis injury is difficult to differentiate from al ateral ankle sprain and is often overlooked because clinicians encounter this injury infrequently. The incidence rates between 1% and 24% of all ankle sprains. Early and accurate diagnosis of ankle syndesmosis injury is essential to facilitate timely, effective, and safe treatment. Sman et. al investigated the accuracy of four common clinical diagnostic tests for the identif