ArticleSkeletal radiology2021
Morphometric analysis of the incisura fibularis in patients with unstable high ankle sprains.
Article in Skeletal radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- Distal tibiofibular syndesmotic instability: revisiting essential concepts and clarifying advanced imaging tests.Skeletal radiology · 2026Review
- Incisura groove depth is associated with reduced rotational fibular displacement after syndesmotic injury: cadaveric validation of an automated three-dimensional incisura morphometric pipeline.Frontiers in medicine · 2026Article
- The morphometry of distal tibia and posterior malleolus and its clinical implications in total ankle prosthesis.Surgical and radiologic anatomy : SRA · 2024Article
- The Role of Artificial Intelligence in the Identification and Evaluation of Bone Fractures.Bioengineering (Basel, Switzerland) · 2024Review
- Application of external torque enhances the detection of subtle syndesmotic ankle instability in a weight-bearing CT.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- In Different Gender Groups, What Is the Impact of the Fibular Notch on the Severity of High Ankle Sprain: A Retrospective Study of 360 Cases.Orthopaedic surgery · 2023Article
- Does the Level of Syndesmotic Screw Insertion Affect Clinical Outcome after Ankle Fractures with Syndesmotic Instability?Orthopaedic surgery · 2023Article
- Effect of weightbearing and foot positioning on 3D distal tibiofibular joint parameters.Scientific reports · 2022Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveThe role of the syndesmotic ankle ligaments as extrinsic stabilizers of the distal tibiofibular joint (DTFJ) has been studied extensively in patients with high ankle sprains (HAS). However, research concerning the fibular incisura as intrinsic stabilizer of the DTFJ has been obscured by a two-dimensional assessment of a three-dimensional structure. Therefore, we aimed to compare the morphometry of the incisura fibularis between patients with HAS and a control group using three-dimensional radiographic techniques. MATERIALS AND
methodsFifteen patients with a mean age of 44 years (SD = 15.2) diagnosed with an unstable HAS and twenty-five control subjects with a mean age of 47.4 years (SD = 6.5) were analyzed in this retrospective comparative study. The obtained CT images were converted to three-dimensional models, and the following radiographic parameters of the incisura fibularis were determined using three-dimensional measurements: incisura width, incisura depth, incisura height, incisura angle, incisura width-depth ratio, and incisura-tibia ratio.
resultsThe mean incisura depth (M = 4.7 mm, SD = 1.1 mm), incisura height (M = 36.1 mm, SD = 5.3 mm), and incisura angle of the control group (M = 137.2°, SD = 7.9°) differed significantly from patients with a HAS (resp., M = 3.8 mm, SD = 1.1 mm; M = 31.9 mm, SD = 3.2 mm; M = 143.2°, SD = 8.3°) (P < 0.05). The incisura width, incisura width-depth ratio, and incisura-tibia ratio demonstrated no significant difference (P > 0.05).
conclusionOur three-dimensional comparative analysis has detected a shallower and shorter fibular incisura in patients with HAS. This distinct morphology could have repercussion on the intrinsic or osseous stability of the DTFJ. Future prospective radiographic assessment could determine to what extend the fibular incisura morphology contributes to syndesmotic ankle injuries caused by high ankle sprains.
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