RT Journal T1 The symptomatic os subfibulare. Avulsion fracture of the fibula associated with recurrent instability of the ankle JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 1991 FD September 1 VO 73 IS 8 SP 1251 OP 1254 DO UL http://dx.doi.org/ AB Four adults who had symptomatic instability of the ankle had an associated os subfibulare. Operative exploration revealed the ossicle to represent a non-union of an avulsion fracture of the anterior talofibular ligament. These findings suggest that an os subfibulare represents an avulsion fracture that may or may not be associated with laxity of the anterior talofibular ligament, rather than being a normal variant.