ArticleFoot & ankle orthopaedics2020
Bilateral Symmetry, Sex Differences, and Primary Shape Factors in Ankle and Hindfoot Bone Morphology.
Article in Foot & ankle orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 25 citations in OpenAlex.
- Implications of Size and Gender for Implant Fit and Coverage in Total Ankle Replacement.Foot & ankle orthopaedics · 2026Article
- An Exploratory Statistical Shape Modeling Analysis of Three-Dimensional Foot Alignment in Female Patients With Progressive Collapsing Foot Deformity.Journal of foot and ankle research · 2026Article
- A multiple joint morphometric analysis of female patients with progressive collapsing foot deformity: a cross-sectional study.Journal of orthopaedic surgery and research · 2026Article
- Statistical Shape Modeling Characterization of Cavovarus Deformity Between Demyelinating and Axonal Subtypes of Charcot-Marie-Tooth Disease.Foot & ankle international · 2025Article
- Osseous morphology differences in the foot and ankle associated with Charcot-Marie-Tooth disease.JBMR plus · 2025Article
- Landing adaptations in individuals with chronic ankle instability.Frontiers in sports and active living · 2025Article
- Statistical shape modeling of shape variability of the human distal tibia: implication for implant design of the tibial component for total ankle replacement.Frontiers in bioengineering and biotechnology · 2025Article
- Symmetry of the left and right tibial plafond; a comparison of 75 distal tibia pairs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Article
- Using bilateral data in controls and patients with bilateral and unilateral pathology requires increased scrutiny.Journal of biomechanics · 2024Article
- Thermoregulation in Two Models of Trail Run Socks with Different Fabric Separation.Life (Basel, Switzerland) · 2023Article
- Biomechanical Insights Afforded by Shape Modeling in the Foot and Ankle.Foot and ankle clinics · 2023Review
- Multi-level multi-domain statistical shape model of the subtalar, talonavicular, and calcaneocuboid joints.Frontiers in bioengineering and biotechnology · 2022Article
- Morphometric analysis of the incisura fibularis in patients with unstable high ankle sprains.Skeletal radiology · 2021Article
- Healthy ankle and hindfoot kinematics during gait: Sex differences, asymmetry and coupled motion revealed through dynamic biplane radiography.Journal of biomechanics · 2021Article
- Description of anatomical differences in 3D bone morphology between female individuals with progressive collapsing foot deformity and asymptomatic controls.The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle SurgeonsArticle
- Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAnkle injuries and joint degeneration may be related to ankle bone morphology. Little data exist to characterize healthy hindfoot bone morphology. The purpose of this study was to characterize side-to-side symmetry and sex differences in ankle and hindfoot bone morphology, and to identify the primary shape factors that differentiate ankle and hindfoot bone morphology among individuals.
methodsComputed tomography was used to create 3D surface models of the distal tibia, talus, and calcaneus for 40 ankle and hindfoot bones from 20 healthy individuals. Morphologic differences between left and right bones of the same individual and between males and females were determined. Statistical shape modeling was performed to identify primary shape variations among individuals.
resultsSide-to-side differences in bone morphology averaged 0.79 mm or less. The average distal tibia in males was larger overall than in females. No significant sex difference was noted in the tali. The average female calcaneus was longer and thinner than the average male calcaneus. Variability in ankle and hindfoot bone morphology is primarily associated with articulating surface shape, overall length and width, and tendon/ligament attachment points.
conclusionIn general, the contralateral ankle can serve as an accurate guide for operative restoration of native ankle morphology; however, specific regions demonstrate higher asymmetry. CLINICAL RELEVANCE: Knowledge of regions of high and low bilateral symmetry can improve hindfoot and ankle reconstruction. Design of ankle prostheses can be improved by accounting for differences in bone morphology associated with sex and shape differences among individuals.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.