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International Orthopaedics

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01-10-2020 | Computed Tomography | Original Paper

Validation of a new method for evaluation of syndesmotic injuries of the ankle

Authors: Annette B. Ahrberg, Robert Hennings, Nikolaus von Dercks, Pierre Hepp, Christoph Josten, Ulrich J. Spiegl

Published in: International Orthopaedics | Issue 10/2020

Abstract

Purpose

To define a new parameter in CT that could make imaging of the contralateral ankle dispensable evaluating the position of the fibula after syndesmotic injury.

Methods

Thirty bilateral CTs of 30 patients were included. Five parameters were defined in axial CT for the injured (_inju) and uninjured (_unin) ankle. Reproducibility was examined for inter-observer and intra-observer reliability. Comparisons for all parameters were performed between the CT scans of both ankles.

Results

All measurements had a high agreement for the inter-observer and intra-observer correlation coefficients. A large interindividual variance could be found between all parameters. If the difference of the anterior tibiofibular distance antTFD_unin and antTFD_inju was less than 2 mm, there was a strong significant pairwise correlation between all parameters between both sides.

Conclusion

Bilateral CT is still to be recommended, as it is the only way to exactly assess anterior posterior reduction of the fibula.

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Title: Validation of a new method for evaluation of syndesmotic injuries of the ankle
Authors: Annette B. Ahrberg
Robert Hennings
Nikolaus von Dercks
Pierre Hepp
Christoph Josten
Ulrich J. Spiegl
Publication date: 01-10-2020
Publisher: Springer Berlin Heidelberg
Keywords: Computed Tomography
Ankle Fracture
Computed Tomography
Published in: International Orthopaedics / Issue 10/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04631-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validation of a new method for evaluation of syndesmotic injuries of the ankle

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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