The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies
Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologi...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36300-e36300 |
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| creator | Pollizzi, Anthony A Monir, Joseph G Lagrew, Mollie Reb, Christopher |
| description | Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss' Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss' Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique. |
| doi_str_mv | 10.7759/cureus.36300 |
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Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss' Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss' Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.36300</identifier><identifier>PMID: 37073189</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Ankle ; Injuries ; Medical imaging ; Morphology ; Orthopedics ; Patients ; Tomography</subject><ispartof>Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36300-e36300</ispartof><rights>Copyright © 2023, Pollizzi et al.</rights><rights>Copyright © 2023, Pollizzi et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Pollizzi et al. 2023 Pollizzi et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-dcb66388c3aef209cd9ee05772d71a082a51e86dc6346c92a3fea9198e3269d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106111/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106111/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37073189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pollizzi, Anthony A</creatorcontrib><creatorcontrib>Monir, Joseph G</creatorcontrib><creatorcontrib>Lagrew, Mollie</creatorcontrib><creatorcontrib>Reb, Christopher</creatorcontrib><title>The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss' Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss' Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique.</description><subject>Ankle</subject><subject>Injuries</subject><subject>Medical imaging</subject><subject>Morphology</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Tomography</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkc1LHEEQxZugRFFvnqXBi4es9ofbH15kWWISWBGS9dz09NS4LTPTa9eMsP99WteI5lQF9ePxXj1Cjjk713pqL8KYYcRzqSRjX8i-4MpMDDeXOx_2PXKE-MgY40wLptlXsic105Ibu0_8cgV0GauYmliNrc90EXu4ojP6G9roqxboLQyrVNPU0D-bvgbsEkakM0RA7KAfaOzpHPLgy7x5FaG3Ka9XqU0PEfCQ7Da-RTh6mwfk_ub7cv5zsrj78Ws-W0xC8T5M6lApJY0J0kMjmA21BWBTrUWtuWdG-CkHo-qg5KUKVnjZgLfcGpBC2XoqD8j1Vnc9Vh3UoTjLvnXrHDufNy756D5f-rhyD-nZ8fIYxTkvCmdvCjk9jYCD6yIGaFvfQxrRCcOkFFYYXdDT_9DHNOa-5HuhtBFWMlGob1sq5ISYoXl3w5l76c9t-3Ov_RX85GOCd_hfW_IvgNaXrg</recordid><startdate>20230317</startdate><enddate>20230317</enddate><creator>Pollizzi, Anthony A</creator><creator>Monir, Joseph G</creator><creator>Lagrew, Mollie</creator><creator>Reb, Christopher</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230317</creationdate><title>The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies</title><author>Pollizzi, Anthony A ; Monir, Joseph G ; Lagrew, Mollie ; Reb, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-dcb66388c3aef209cd9ee05772d71a082a51e86dc6346c92a3fea9198e3269d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ankle</topic><topic>Injuries</topic><topic>Medical imaging</topic><topic>Morphology</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pollizzi, Anthony A</creatorcontrib><creatorcontrib>Monir, Joseph G</creatorcontrib><creatorcontrib>Lagrew, Mollie</creatorcontrib><creatorcontrib>Reb, Christopher</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pollizzi, Anthony A</au><au>Monir, Joseph G</au><au>Lagrew, Mollie</au><au>Reb, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-03-17</date><risdate>2023</risdate><volume>15</volume><issue>3</issue><spage>e36300</spage><epage>e36300</epage><pages>e36300-e36300</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL's applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss' Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss' Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>37073189</pmid><doi>10.7759/cureus.36300</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Ankle Injuries Medical imaging Morphology Orthopedics Patients Tomography |
| title | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
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