Is Incisura Fibularis a Reliable Landmark for Assessing Syndesmotic Stability? A Systematic Review of Morphometric Studies

Prakash, Akilesh Anand

doi:10.1177/1938640016685152

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…On the lateral aspect of the talocrural joint the syndesmosis is assessed for stability using tibiofibular clear space and tibiofibular overlap. These measurements unfortunately vary with gender, how the measurement was taken 26 and foot position. 27 There is no accepted consensus as to how this measurement should be taken.…”

Section: Preoperative Assessmentmentioning

confidence: 99%

Ankle stability in ankle fracture

Lambert

Falconer

Mason

2020

Journal of Clinical Orthopaedics and Trauma

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Section: Preoperative Assessmentmentioning

confidence: 99%

Ankle stability in ankle fracture

Lambert

Falconer

Mason

2020

Journal of Clinical Orthopaedics and Trauma

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“…5,23,24,26,29,30,32 And of those reporting age, they exclusively involved elderly population. 25,27,28,31 This is of significance as various radiological and biomechanical studies have shown tibiofibular syndesmosis to be influenced by age 18,49 and gender. 18,49 Furthermore, variability observed in the current review may be attributable to the varied measurement tool used ranging from calipers 24,25,27,29 to 3-dimensional techniques, 28,31 varied measurement techniques, 29 and varied approaches in dissection.…”

Section: Discussionmentioning

confidence: 99%

“…25,27,28,31 This is of significance as various radiological and biomechanical studies have shown tibiofibular syndesmosis to be influenced by age 18,49 and gender. 18,49 Furthermore, variability observed in the current review may be attributable to the varied measurement tool used ranging from calipers 24,25,27,29 to 3-dimensional techniques, 28,31 varied measurement techniques, 29 and varied approaches in dissection. Finally, use of different landmarks for footprints like tibial articular surface 29 and superior border of the distal tibial articular cartilage, 31 rendered between study comparisons difficult.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of Ankle Syndesmotic Ligaments: A Systematic Review of Cadaveric Studies

Prakash

2020

Foot & Ankle Specialist

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Diagnosis and management of isolated syndesmotic injuries are controversial and highly debated. Hence, the aim of this study is to explore and gain the current understanding pertaining to detailed anatomy of syndesmotic ligaments through a systematic review of published cadaveric studies. A systematic review was conducted online for literature published in English using PubMed and Google Scholar, as per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, up to April 30, 2019. Predefined eligibility criteria were applied, and the data thus compiled was analyzed. Study quality was assessed based on Quality Appraisal for Cadaveric Studies (QUACS) scale. A total of 12 studies reporting 365 ankles were included in this review. Considerable inconsistency in the naming and description of syndesmotic ligaments was observed, with only 2 studies reporting the vasculature of the ligaments. Hence further investigation of the anatomy of the syndesmotic ligaments is recommended so as to better inform clinical practice, as awareness of anatomy is critical for assessment, healing, and successful surgical management. Levels of Evidence: Level III: Systematic review of anatomical dissections

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“…FN is an important anatomical structure in the distal tibio bular syndesmosis, and there are extensive variations in the population [11,12]. Previous studies have con rmed that FN is a consistent index to evaluate the stability of syndesmotic [13][14][15]. Moreover, some anatomical con gurations of FN are related to the increased risk of speci c syndesmotic mal-reduction patterns, such as anteversion of the incisura correlated with anterior displacement of the bula, while retroversion of the incisura correlated with posterior bular displacement [16].…”

Section: Introductionmentioning

confidence: 99%

“…There are few studies on the impact of gender differences on HAS, but a few studies report that the degree of injury in male is greater than that in female [2,21]. At the same time, the measurement of FN will be affected by gender, which may be due to the morphological differences between tibia and bula [15]. Therefore, based on the imaging data of axial CT, we analyzed the FN and HAS related to parameters of HAS patients of different genders the in uence of FN on HAS on the basis of excluding the anatomical differences caused by gender.…”

Section: Introductionmentioning

confidence: 99%

In Different Gender Groups, What Is the Impact of the Fibular Notch on The Severity of High Ankle Sprain: A Retrospective Study of 240 Cases

Peng

Tang

et al. 2021

Preprint

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Background: The function of the distal tibiofibular ligament on the ankle in the occurrence of high ankle sprain (HAS) has been widely studied. Then, in different genders, the effect of the anatomical morphology of fibular notch (FN) on HAS is unclear. Therefore, on the basis of excluding the anatomical differences caused by gender, we explore the impact of different types of FN on the severity of HAS.Methods: We selected 120 patients and further classified these 120 patients into four HAS groups according to FN depth with deep concave type FN ≥ four mm and shallow flat type FN < four mm. A further 120 normal individuals were served as a control group. FN morphological indicators, tibiofibular distance (TFD), and ankle mortise indexes were measured and compared between patients and control groups.Results: In males with shallow flat type, the Anterior tibiofibular distance (aTFD), Middle tibiofibular distance (mTFD), Posterior tibiofibular distance (pTFD), Front tibial width (FTiW), Middle tibial width (MTiW), Posterior tibial width (PTiW) and Depth of ankle mortise (DOAM) of HAS group were higher than those in normal group (P < 0.05). In males with deep concave type, the aTFD, mTFD and DOAM of patients were significantly higher (P < 0.05). Among females with shallow flat type, the aTFD, mTFD, pTFD, FTiW and MTiW in HAS group were greater than those in normal group (P < 0.05). Among the females with deep concave type, the mTFD and pTFD of patients were higher (P < 0.05).Conclusions: After analyzing the morphological indicators of FN, it is found that in both males and females, HAS patients have significant differences in TFD and certain ankle mortise indexes compared with normal people. But more importantly, the above abnormalities are often more common in HAS patients with shallow flat FN, indicating that shallow flat FN may be related to more serious distal tibiofibular ligament injury and ankle mortise widening, resulting in a worse prognosis.Level of evidence: Level III, retrospective comparative study.

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Is Incisura Fibularis a Reliable Landmark for Assessing Syndesmotic Stability? A Systematic Review of Morphometric Studies

Abstract: Anatomical, Level V.

Cited by 10 publications

References 29 publications

Ankle stability in ankle fracture

Ankle stability in ankle fracture

Anatomy of Ankle Syndesmotic Ligaments: A Systematic Review of Cadaveric Studies

In Different Gender Groups, What Is the Impact of the Fibular Notch on The Severity of High Ankle Sprain: A Retrospective Study of 240 Cases

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