ArticleJournal of orthopaedic surgery and research2024
The most responsive foot position for non-invasive detection of isolated unstable syndesmotic injuries - a 3D analysis.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Stroboscopic visual training combined with balance exercises for chronic ankle instability: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Physical therapy versus conventional treatment for grade I and II acute ankle sprains: trial sequential analysis and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Isokinetic eccentric vs. concentric training for functional ankle instability: a randomized controlled trial.Journal of orthopaedic surgery and research · 2025Trial
- Midterm Outcomes After Suture Button Fixation for Arthroscopically Confirmed Concomitant Syndesmotic Instability in Chronic Lateral Ankle Instability: A Retrospective Cohort Study.Orthopaedic journal of sports medicine · 2026Article
- Designing machine learning-based models to predict residual pain after functional treatment of acute lateral ankle ligamentous sprains.Journal of orthopaedic surgery and research · 2026Article
- Radiographic comparison of weight-bearing and non-weight-bearing positions in evaluating the distal tibiofibular syndesmosis: a single-center study of 72 ankles.Journal of orthopaedic surgery and research · 2025Article
- Clinical outcomes of arthroscopic all-inside anterior talofibular ligament trans- augmentation repair versus modified trans- augmentation repair for patients with chronic ankle instability.Journal of orthopaedic surgery and research · 2025Article
- Radiography may not be accurate in assessing acute ankle sprains in children.Journal of orthopaedic surgery and research · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to identify the most responsive foot position for detection of isolated unstable syndesmotic injury.
methodsFourteen paired human cadaveric lower legs were positioned in a pressure-controlled radiolucent frame and loaded under 700 N. Computed tomography scans were performed in neutral position, 15° internal / external rotation, and 20° dorsal / plantar flexion of the foot before and after cutting all syndesmotic ligaments. For each position, generated 3D models of the intact and injured distal tibiofibular joints were matched and analyzed by calculating three parameters: diastasis, anteroposterior displacement, and shortening of the fibula.
resultsTransection of syndesmotic ligaments resulted in significant posterior translation of the fibula (4.34°, SD 1.63°, p < 0.01) compared to uninjured state for external rotation, significant anterior translation (-2.08°, SD 1.65°, p < 0.01) for internal rotation, and significant posterior translation (1.32°, SD 1.16°, p = 0.01) for dorsiflexion. Furthermore, the syndesmotic injury led to significantly increased clear space (0.46 mm, SD 0.46 mm, p = 0.03) in external rotation of the foot.
conclusionExternal rotation of the foot under loading seems to be the most responsive position for detection of isolated syndesmotic instability. Under external rotational stress, anteroposterior instability and increased clear space resulting from a complete isolated unstable syndesmotic lesion were most evident.
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