Rydberg EM, Zorko T, Sundfeldt M, et al. - Thie present study was conducted to present the epidemiology of ankle fractures treated at Sahlgrenska University Hospital (SU) during a 2-year period and analyze the current diagnostic process, classification, and choice of treatment for lateral malleolar fractures at the level of the syndesmosis. Between 1 April 2012 and 31 March 2014, researchers obtained observational data regarding all ankle fractures treated at SU from the Swedish Fracture Register. They examined and reviewed medical records and radiographs for distinguishing AO/OTA44-B1 fractures. A total of 1332 ankle fractures were included in the study. The recent data highlights the difficulty involved in identifying if or not a trans-syndesmotic lateral malleolar fracture has an associated medial ligament injury or not. As this identifies whether the fracture is stable or not it influences the choice of subsequent treatment. The findings also revealed a lack of consensus on how to classify and treat lateral malleolar fractures at the level of the syndesmosis. It was demonstrated that there is no requirement to verify non-surgically treated stable fractures with follow-up radiographic examination at 1 week.