The Relationship Between Fibular Notch Anatomy and ATFL Rupture

dc.contributor.authorYaka, Haluk
dc.contributor.authorOzer, Mustafa
dc.contributor.authorTurkmen, Faik
dc.contributor.authorDemirel, Ahmet
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-02-23T14:16:49Z
dc.date.available2024-02-23T14:16:49Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractThe anterior talofibular ligament (ATFL) is the first to be damaged during a lateral ankle sprain. Dynamic and static structures have been investigated to better understand ATFL rupture, but the predisposing factors have not been fully elucidated. This study aims to define the fibular notch version that can evaluate the position of the fibular notch relative to the tibia and investigate the relationship between the fibular notch version (FNV) and ATFL rupture. This study included 71 patients with isolated ATFL rupture diagnosed clinically and radiologically and 71 control patients without any foot or ankle pathologies. Anterior facet length (AFL), posterior facet length (PFL), anterior-posterior facet angle (APFA), fibular notch depth (ND), and FNV measurements were performed on axial magnetic resonance images (MRI). We defined FNV as a parameter that evaluates the fibular notch's relative position to the distal tibia. The mean FNV was 16.6 & DEG; & PLUSMN; 4.9 & DEG; in patients with ATFL rupture and 12.4 & DEG; & PLUSMN; 5.6 & DEG; in the control group; when both groups were compared, FNV measurements were significantly higher in patients with ATFL rupture (p = .002). The mean APFA was 123.9 & DEG; & PLUSMN; 10 & DEG; in the group with ATFL rupture and 129.7 & DEG; & PLUSMN; 7.8 & DEG; in the control group. When both groups were compared, APFA was significantly lower in patients with ATFL rupture (p = .014). There was no significant difference between the groups regarding AFL, PFL, and ND. A more posterior (retroverted) fibular notch and a lower fibular notch angle seem to be associated with higher rates of ATFL rupture. & COPY; 2023 by the American College of Foot and Ankle Surgeons. All rights reserved.en_US
dc.identifier.doi10.1053/j.jfas.2023.02.004
dc.identifier.endpage670en_US
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue4en_US
dc.identifier.pmid36941139en_US
dc.identifier.scopus2-s2.0-85150195527en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage666en_US
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2023.02.004
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12821
dc.identifier.volume62en_US
dc.identifier.wosWOS:001039240800001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnkle Sprain Fibular Notch Version Lateral Ankle Instability Syndesmotic Notchen_US
dc.titleThe Relationship Between Fibular Notch Anatomy and ATFL Ruptureen_US
dc.typeArticleen_US

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