Clinical assessment must include the condition of the soft tissues as well as the sensory and motor function of the foot structures. Special attention is given to any signs of a compartment syndrome. Standard AP and lateral x-rays are taken. In case of doubt, CT-scans may be helpful to detect or exclude involvement of the articular surface. For all distal tibia fractures, the fibula must be classified as intact, or fractured into two or multiple fragments. The syndesmotic ligaments usually remain intact. If they are torn or avulsed from the tibia with minor or major fragments (Tillaux-Chaput and Volkmann's Triangle), correct diagnosis and subsequent repair is mandatory. The talofibular ligaments may be torn. The deltoid ligament is nearly always intact. This permits indirect reduction by ligamentotaxis in selected cases.