Radiological Evaluation of Distal Tibiofibular Joint Anatomy Variations in Patients with and Without Syndesmotic Injury

dc.contributor.authorAtaoglu, Muhammet Baybars
dc.contributor.authorTokgoz, Mehmet Ali
dc.contributor.authorOzer, Mustafa
dc.contributor.authorKokturk, Anil
dc.contributor.authorYaka, Haluk
dc.contributor.authorErgisi, Yilmaz
dc.date.accessioned2024-02-23T14:00:15Z
dc.date.available2024-02-23T14:00:15Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractIntroductionSyndesmosis injuries are a common and debilitating problem affecting the ankle joint, but the precise causes of these injuries remain unclear. In the current retrospective study, it was aimed to investigate the relationship between variations in the distal tibiofibular syndesmosis and surgically proven syndesmosis injuries.Patients and MethodA total of 57 patients with surgically proven syndesmosis injuries and 51 patients without syndesmosis injuries were included as the control group. Computed tomography (CT) scans were used to measure six anatomical features 1 cm proximal to the tibiotalar joint, including the anterior facet length (a), posterior facet length (b), angle between the anterior and posterior facets (c), fibular incisura depth (d), tibia thickness (e), and fibula thickness (f).ResultsComparing the measurements of the patients with and without syndesmosis injury, it was demonstrated that the anterior facet length (a) (p = 0.022) was shorter and the a-b difference (anterior facet length-posterior facet length difference) (p = 0.010) tended toward negative values. Pearson correlation analysis demonstrated that a (r = - 0.211, p < 0.033) and a-b (r = - 0.254, p = 0.010) measurements were strongly negatively correlated with syndesmosis injury.DiscussionOur study findings suggest that the shortness of the anterior facet and the difference in length are related to syndesmosis injuries. To the best of our knowledge, this is the first study to report this relationship with syndesmosis. This study sheds light on the underlying mechanisms of syndesmosis injury, which could help clinicians in the diagnosis, treatment, and prevention of this common ankle injury.Level of evidence: Level 4: case-control study.en_US
dc.identifier.doi10.1007/s43465-023-00952-0
dc.identifier.endpage1477en_US
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.issue9en_US
dc.identifier.pmid37609029en_US
dc.identifier.scopus2-s2.0-85165037528en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1473en_US
dc.identifier.urihttps://doi.org/10.1007/s43465-023-00952-0
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11526
dc.identifier.volume57en_US
dc.identifier.wosWOS:001031499800001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofIndian Journal Of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSyndesmosis Injuryen_US
dc.subjectDistal Tibiofibular Jointen_US
dc.subjectAnatomic Variationsen_US
dc.titleRadiological Evaluation of Distal Tibiofibular Joint Anatomy Variations in Patients with and Without Syndesmotic Injuryen_US
dc.typeArticleen_US

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