TY - BOOK AU - Orapin, Jakrapong AU - Qin, Jianzhong AU - Schon, Lew C TI - Reliability of distal tibio-fibular syndesmotic instability measurements using weightbearing and non-weightbearing cone-beam CT SN - 1268-7731 PY - 2019/// KW - *Ankle Joint/dg [Diagnostic Imaging] KW - *Cone-Beam Computed Tomography KW - *Joint Instability/dg [Diagnostic Imaging] KW - *Weight-Bearing/ph [Physiology] KW - Adult KW - Aged KW - Ankle Injuries/pp [Physiopathology] KW - Ankle Joint/pp [Physiopathology] KW - Diastasis, Bone/dg [Diagnostic Imaging] KW - Diastasis, Bone/pp [Physiopathology] KW - Female KW - Humans KW - Joint Instability/pp [Physiopathology] KW - Middle Aged KW - Reproducibility of Results KW - Retrospective Studies KW - Rotation KW - Young Adult KW - MedStar Union Memorial Hospital KW - Orthopaedic Surgery KW - Journal Article N1 - Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007 N2 - BACKGROUND: To investigate the reliability and reproducibility of syndesmosis measurements on weightbearing (WB) cone-beam computed tomography (CBCT) images and compare them with measurements obtained using non-weightbearing (NWB) images; CONCLUSION: Measurements evaluating the distance between tibia and fibula in the axial plane 10mm above the plafond had high intra- and inter-observer reliability. Mean posterior tibio-fibular distance, diastasis, and angular measurement were significantly different between WB and NWB images; Copyright (c) 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved; METHODS: In this IRB-approved, retrospective study of 5 men and 9 women with prior ankle injuries, simultaneous WB and NWB CBCT scans were taken. A set of 21 syndesmosis measurements using WB and NWB images were performed by 3 independent observers. Pearson/Spearman correlation and intra-class correlation (ICC) were used to assess intra- and inter-observer reliability, respectively; RESULTS: We observed substantial to perfect intra-observer reliability (ICC=0.72-0.99) in 20 measurements. Moderate to perfect agreement (ICC=0.45-0.97) between observers was noted in 19 measurements UR - https://dx.doi.org/10.1016/j.fas.2018.10.003 ER -