Normal Values for Distal Tibiofibular Syndesmotic Space With and Without Subject-Driven External Rotation Stress. (Record no. 13871)

MARC details
000 -LEADER
fixed length control field 04198nam a22004577a 4500
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fixed length control field 240122s20232023xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1071-1007
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1177/10711007231205576 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 37902238
266 ## - Date added to catalog
Date added to catalog 2024-01-22
245 ## - TITLE STATEMENT
Title Normal Values for Distal Tibiofibular Syndesmotic Space With and Without Subject-Driven External Rotation Stress.
251 ## - Source
Source Foot & Ankle International. :10711007231205576, 2023 Oct 30
252 ## - Abbreviated Source
Abbreviated source Foot Ankle Int. :10711007231205576, 2023 Oct 30
253 ## - Journal Name
Journal name Foot & ankle international
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
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Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Oct 30
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
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Local holdings Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: The diagnosis and treatment of distal tibiofibular syndesmosis (DTFS) injury can be challenging, especially in cases of subtle instability that may be masked on 2-dimensional conventional radiographs. Weightbearing computed tomography (WBCT) has recently emerged as a useful diagnostic tool allowing direct assessment of distal tibiofibular area widening. The purpose of the current study was to examine and report normal threshold values for DTFS area measurements in a cohort of healthy volunteers, assessing the ankles in natural weightbearing position and under subject-driven external rotation stress.
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Abstract CONCLUSION: This study presents normal values and range for DTFS area calculation. In uninjured ankles with expected intact ligaments, subject-driven external rotation stress did not result in significant widening of the DTFS space as imaged on with WBCT.
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Abstract LEVEL OF EVIDENCE: Level II, cross-sectional study.
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Abstract METHODS: In this prospective study, we enrolled 25 healthy volunteers without a history of DTFS injury or high ankle sprain, previous foot and ankle surgery, or current ankle pain. Subjects with any prior ankle injuries were excluded. Study participants underwent bilateral standing nonstress and external rotation stress WBCT scans. The DTFS area (mm2) was semiautomatically quantified on axial-plane WBCT images 1 cm proximal to the apex of the talar dome using validated software. Syndesmosis area values were compared between "unstressed" and "stressed" ankles, as well as left and right ankles. Statistical analysis was performed using independent t tests/Wilcoxon analysis with statistical significance defined as P <.05.
520 ## - SUMMARY, ETC.
Abstract RESULTS: The study cohort consisted of 50 ankles in 25 patients (12 males, 48%) with a mean age of 28.7 +/- 9.3 years. In the unstressed ankle, the mean pooled DTFS area was determined to be 103.8 + 20.8 mm2. The mean syndesmosis area of unstressed left ankles (104.2 + 19.5 mm2) was similar to unstressed right ankles (109.2 + 17.2 mm2) in the cohort (P = .117). With external rotation stress, the DTFS area of left ankles (mean difference -0.304 mm2, CI -12.1 to 11.5; P = .082), right ankles (mean difference -5.5 mm2, CI 16.7-5.7; P = .132), and all ankles (mean difference -2.9 mm2, CI -10.8 to 5.1; P = .324) remained similar.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
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Department Foot and Ankle Surgery Fellowship
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Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
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Department Orthopaedic Surgery Residency
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Medline publication type Journal Article
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Local Authors Barbachan Mansur, Nacime Salomao
Institution Code MUMH
Program Foot and Ankle Surgery Fellowship
Degree MD, PhD
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Local Authors Day, Jonathan
Institution Code MGUH
Program Orthopaedic Surgery Residency
Degree MD
790 ## - Authors
All authors Shamrock A, Den Hartog TJ, Dowley K, Day J, Barbachan Mansur NS, Carvalho KAM, de Cesar Netto C, O'Malley M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1177/10711007231205576">https://dx.doi.org/10.1177/10711007231205576</a>
Public note https://dx.doi.org/10.1177/10711007231205576
858 ## - ORCID
ORCID text Barbachan Mansur, Nacime Salomao
Orcid <a href="https://orcid.org/0000-0003-1067-727X">https://orcid.org/0000-0003-1067-727X</a>
Name https://orcid.org/0000-0003-1067-727X
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ORCID text Day, Jonathan
Orcid <a href="https://orcid.org/0000-0003-1106-3042">https://orcid.org/0000-0003-1106-3042</a>
Name https://orcid.org/0000-0003-1106-3042
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
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              01/22/2024   37902238 37902238 01/22/2024 01/22/2024 Journal Article

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