Morphological Variations and Normal Parameters of the Cross-Sectional Anatomy of the Tibiofibular Syndesmotic
Background: The aim of this study was to determine morphological variations and normal parameters of the cross-sectional tibiofibular syndesmotic anatomy. Methods: Configurations of syndesmosis, anterior syndesmotic width (ASW), posterior syndesmotic width (PSW), and overlap distance, defined as the...
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| Veröffentlicht in: | Foot and ankle specialist 2024-04, Vol.17 (2), p.125-130 |
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| creator | Hashemi, Seyed Ali Nosrati, Soheil Shayan, Zahra Vosoughi, Amir Reza |
| description | Background:
The aim of this study was to determine morphological variations and normal parameters of the cross-sectional tibiofibular syndesmotic anatomy.
Methods:
Configurations of syndesmosis, anterior syndesmotic width (ASW), posterior syndesmotic width (PSW), and overlap distance, defined as the overlap of medial fibula with a drawn line from tip of anterior tubercle of incisura fibularis to the posterior tip, were measured on normal computed tomography (CT) scans of 110 cases. Results: Seventy seven male (70%) and 33 female (30%) (left: 50 and right: 60) were assessed. Mean age of the cases was 33 ± 13 (range: 15-80) years. Three different syndesmotic configurations were crescent (55.5%), rectangular (39.1 %), and semicircle (5.4 %). Overall, mean ASW, PSW, and overlap distance were 2.72, 3.98, and 1.02 mm, respectively. Upper limit of normal ASW in crescent, rectangular, and semicircle was 4.80, 4.85, and 3.89 mm, respectively. The maximum of PSW in crescent, rectangular, and semicircle was 6.25, 6.50, and 4.97 mm, respectively. There was not significant difference between syndesmotic configurations based on age (P = .69) and sex (P = .16).
Conclusions:
During interpreting axial CT scan to diagnose syndesmotic injuries, the normal range of parameters according to the different configurations of the tibiofibular syndesmosis should be carefully considered.
Level of Evidence:
Level 4 |
| doi_str_mv | 10.1177/19386400211055274 |
| format | Article |
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The aim of this study was to determine morphological variations and normal parameters of the cross-sectional tibiofibular syndesmotic anatomy.
Methods:
Configurations of syndesmosis, anterior syndesmotic width (ASW), posterior syndesmotic width (PSW), and overlap distance, defined as the overlap of medial fibula with a drawn line from tip of anterior tubercle of incisura fibularis to the posterior tip, were measured on normal computed tomography (CT) scans of 110 cases. Results: Seventy seven male (70%) and 33 female (30%) (left: 50 and right: 60) were assessed. Mean age of the cases was 33 ± 13 (range: 15-80) years. Three different syndesmotic configurations were crescent (55.5%), rectangular (39.1 %), and semicircle (5.4 %). Overall, mean ASW, PSW, and overlap distance were 2.72, 3.98, and 1.02 mm, respectively. Upper limit of normal ASW in crescent, rectangular, and semicircle was 4.80, 4.85, and 3.89 mm, respectively. The maximum of PSW in crescent, rectangular, and semicircle was 6.25, 6.50, and 4.97 mm, respectively. There was not significant difference between syndesmotic configurations based on age (P = .69) and sex (P = .16).
Conclusions:
During interpreting axial CT scan to diagnose syndesmotic injuries, the normal range of parameters according to the different configurations of the tibiofibular syndesmosis should be carefully considered.
Level of Evidence:
Level 4</description><identifier>ISSN: 1938-6400</identifier><identifier>EISSN: 1938-7636</identifier><identifier>DOI: 10.1177/19386400211055274</identifier><identifier>PMID: 34724836</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anatomy, Cross-Sectional ; Ankle Joint - anatomy & histology ; Ankle Joint - diagnostic imaging ; Female ; Fibula - anatomy & histology ; Fibula - diagnostic imaging ; Humans ; Male ; Middle Aged ; Reference Values ; Tibia - anatomy & histology ; Tibia - diagnostic imaging ; Tomography, X-Ray Computed ; Young Adult</subject><ispartof>Foot and ankle specialist, 2024-04, Vol.17 (2), p.125-130</ispartof><rights>2021 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-b2b86eb06e60a4cde6894fe19b090e170953262f8f8303daade705883e7fbd6b3</cites><orcidid>0000-0002-6118-8938</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/19386400211055274$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/19386400211055274$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34724836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hashemi, Seyed Ali</creatorcontrib><creatorcontrib>Nosrati, Soheil</creatorcontrib><creatorcontrib>Shayan, Zahra</creatorcontrib><creatorcontrib>Vosoughi, Amir Reza</creatorcontrib><title>Morphological Variations and Normal Parameters of the Cross-Sectional Anatomy of the Tibiofibular Syndesmotic</title><title>Foot and ankle specialist</title><addtitle>Foot Ankle Spec</addtitle><description>Background:
The aim of this study was to determine morphological variations and normal parameters of the cross-sectional tibiofibular syndesmotic anatomy.
Methods:
Configurations of syndesmosis, anterior syndesmotic width (ASW), posterior syndesmotic width (PSW), and overlap distance, defined as the overlap of medial fibula with a drawn line from tip of anterior tubercle of incisura fibularis to the posterior tip, were measured on normal computed tomography (CT) scans of 110 cases. Results: Seventy seven male (70%) and 33 female (30%) (left: 50 and right: 60) were assessed. Mean age of the cases was 33 ± 13 (range: 15-80) years. Three different syndesmotic configurations were crescent (55.5%), rectangular (39.1 %), and semicircle (5.4 %). Overall, mean ASW, PSW, and overlap distance were 2.72, 3.98, and 1.02 mm, respectively. Upper limit of normal ASW in crescent, rectangular, and semicircle was 4.80, 4.85, and 3.89 mm, respectively. The maximum of PSW in crescent, rectangular, and semicircle was 6.25, 6.50, and 4.97 mm, respectively. There was not significant difference between syndesmotic configurations based on age (P = .69) and sex (P = .16).
Conclusions:
During interpreting axial CT scan to diagnose syndesmotic injuries, the normal range of parameters according to the different configurations of the tibiofibular syndesmosis should be carefully considered.
Level of Evidence:
Level 4</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy, Cross-Sectional</subject><subject>Ankle Joint - anatomy & histology</subject><subject>Ankle Joint - diagnostic imaging</subject><subject>Female</subject><subject>Fibula - anatomy & histology</subject><subject>Fibula - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reference Values</subject><subject>Tibia - anatomy & histology</subject><subject>Tibia - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>1938-6400</issn><issn>1938-7636</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0EoqXwA7igHLmk-JHYzrGqeEnlIbVwjexk07qK42Inh_57ErVwQeK0q9lvRtpB6JrgKSFC3JGMSZ5gTAnBaUpFcoLGgxYLzvjpcR-AEboIYYsxxzzh52jEEkETyfgY2RfndxtXu7UpVB19Km9Ua1wTItWU0avztlfflVcWWvAhclXUbiCaexdCvIRiYHti1qjW2f3PeWW0cZXRXa18tNw3JQTrWlNcorNK1QGujnOCPh7uV_OnePH2-DyfLeKCZrSNNdWSg8YcOFZJUQKXWVIByTTOMBCBs5RRTitZSYZZqVQJAqdSMhCVLrlmE3R7yN1599VBaHNrQgF1rRpwXchpmlFGREJkj5IDWgwveajynTdW-X1OcD60nP9puffcHOM7baH8dfzU2gPTAxDUGvKt63xfUvgn8Rs7zIXb</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Hashemi, Seyed Ali</creator><creator>Nosrati, Soheil</creator><creator>Shayan, Zahra</creator><creator>Vosoughi, Amir Reza</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6118-8938</orcidid></search><sort><creationdate>202404</creationdate><title>Morphological Variations and Normal Parameters of the Cross-Sectional Anatomy of the Tibiofibular Syndesmotic</title><author>Hashemi, Seyed Ali ; Nosrati, Soheil ; Shayan, Zahra ; Vosoughi, Amir Reza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-b2b86eb06e60a4cde6894fe19b090e170953262f8f8303daade705883e7fbd6b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy, Cross-Sectional</topic><topic>Ankle Joint - anatomy & histology</topic><topic>Ankle Joint - diagnostic imaging</topic><topic>Female</topic><topic>Fibula - anatomy & histology</topic><topic>Fibula - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reference Values</topic><topic>Tibia - anatomy & histology</topic><topic>Tibia - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashemi, Seyed Ali</creatorcontrib><creatorcontrib>Nosrati, Soheil</creatorcontrib><creatorcontrib>Shayan, Zahra</creatorcontrib><creatorcontrib>Vosoughi, Amir Reza</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle specialist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashemi, Seyed Ali</au><au>Nosrati, Soheil</au><au>Shayan, Zahra</au><au>Vosoughi, Amir Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morphological Variations and Normal Parameters of the Cross-Sectional Anatomy of the Tibiofibular Syndesmotic</atitle><jtitle>Foot and ankle specialist</jtitle><addtitle>Foot Ankle Spec</addtitle><date>2024-04</date><risdate>2024</risdate><volume>17</volume><issue>2</issue><spage>125</spage><epage>130</epage><pages>125-130</pages><issn>1938-6400</issn><eissn>1938-7636</eissn><abstract>Background:
The aim of this study was to determine morphological variations and normal parameters of the cross-sectional tibiofibular syndesmotic anatomy.
Methods:
Configurations of syndesmosis, anterior syndesmotic width (ASW), posterior syndesmotic width (PSW), and overlap distance, defined as the overlap of medial fibula with a drawn line from tip of anterior tubercle of incisura fibularis to the posterior tip, were measured on normal computed tomography (CT) scans of 110 cases. Results: Seventy seven male (70%) and 33 female (30%) (left: 50 and right: 60) were assessed. Mean age of the cases was 33 ± 13 (range: 15-80) years. Three different syndesmotic configurations were crescent (55.5%), rectangular (39.1 %), and semicircle (5.4 %). Overall, mean ASW, PSW, and overlap distance were 2.72, 3.98, and 1.02 mm, respectively. Upper limit of normal ASW in crescent, rectangular, and semicircle was 4.80, 4.85, and 3.89 mm, respectively. The maximum of PSW in crescent, rectangular, and semicircle was 6.25, 6.50, and 4.97 mm, respectively. There was not significant difference between syndesmotic configurations based on age (P = .69) and sex (P = .16).
Conclusions:
During interpreting axial CT scan to diagnose syndesmotic injuries, the normal range of parameters according to the different configurations of the tibiofibular syndesmosis should be carefully considered.
Level of Evidence:
Level 4</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34724836</pmid><doi>10.1177/19386400211055274</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6118-8938</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anatomy, Cross-Sectional Ankle Joint - anatomy & histology Ankle Joint - diagnostic imaging Female Fibula - anatomy & histology Fibula - diagnostic imaging Humans Male Middle Aged Reference Values Tibia - anatomy & histology Tibia - diagnostic imaging Tomography, X-Ray Computed Young Adult |
| title | Morphological Variations and Normal Parameters of the Cross-Sectional Anatomy of the Tibiofibular Syndesmotic |
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