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This is a fibula fracture with a tear of the deltoid ligament and syndesmotic ligaments. It’s caused by a rotational toque on the ankle with a sequential failure of ligament and osseous structures 360 degrees around the ankle. Dr. Blake Moore @bemooremd #syndesmotic #injury #deltoid #ligaments #syndesmosis #fibular #fracture #ankle #mortise #fluoroscopy #video #clinical #sports #orthopedics #instability