Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study
Abstract Background Syndesmosis injury is proposed to contribute to ankle stability and osteoarthritis (OA). However, whether distal tibiofibular syndesmosis structure is closely related to ankle OA is unclear. We hypothesized that different DTS morphology classifications would affect the biomechani...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03985-1 |
| _version_ | 1827709367451910144 |
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| author | Lei Huang XiaoHong Zhang Siyi Yang Jiwen Qing Wangyu Wu Houyin Shi Dingxuan Wang Lei Zhang |
| author_facet | Lei Huang XiaoHong Zhang Siyi Yang Jiwen Qing Wangyu Wu Houyin Shi Dingxuan Wang Lei Zhang |
| author_sort | Lei Huang |
| collection | DOAJ |
| description | Abstract Background Syndesmosis injury is proposed to contribute to ankle stability and osteoarthritis (OA). However, whether distal tibiofibular syndesmosis structure is closely related to ankle OA is unclear. We hypothesized that different DTS morphology classifications would affect the biomechanics properties in ankle OA. The study aimed to determine the association between the distal tibiofibular syndesmosis (DTS) morphological classification and ankle OA. Methods This is a retrospective study examining imaging data of 147 patients (87 males and 60 females) with ankle OA. Magnetic resonance imaging was used to access the DTS morphological classification, according to measuring various parameters. Joint space narrowing and osteophytes were measured using ankle weight-bearing radiography. The classification and parameters were analyzed to determine the relationship between the syndesmosis classification and the abnormality of ankle OA. Results Five morphological classifications of the DTS, including Chevron (19.6%), Widow’s peak (16.2%), Flat (22.3%), Trapezoid (32.0%), and Crescent (19.6%), were shown. There were statistical differences between DTS classification and tibial angle surface angle (TAS) (P = .009) and talar tilt angle (TTA) (P = .014). The TAS (degree) of the Crescent (86.47 ± 3.21) was less than Chevron (88.75 ± 2.72) (P = .006), Widow’s peak (89.26 ± 3.15) (P = .001), Flat (88.83 ± 3.62) (P = .003) and Trapezoid (88.11 ± 2.62) (P = .041), respectively. The TTA (degree) of Crescent (86.83 ± 5.30) was less than Chevron (89.28 ± 2.46) and Widow’s peak (89.82 ± 3.41). The men were greater than women for TAS (P = .008) and angle (P = .003), which are consistent with osteophyte (P = .019) and the modified Kellgren–Lawrence grades (P = .041) between gender. Conclusions DTS morphological classification might affect the biomechanics properties in TAS and TTA in ankle OA. In clinical practice, surgeons should pay attention to the effects of DTS on ankle OA. Level of Evidence: Level III, retrospective study. |
| first_indexed | 2024-03-10T17:19:59Z |
| format | Article |
| id | doaj.art-166a79badb4a473fadbacc53ab22fefb |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-10T17:19:59Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-166a79badb4a473fadbacc53ab22fefb2023-11-20T10:21:03ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811910.1186/s13018-023-03985-1Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective studyLei Huang0XiaoHong Zhang1Siyi Yang2Jiwen Qing3Wangyu Wu4Houyin Shi5Dingxuan Wang6Lei Zhang7School of Physical Education, Southwest Medical UniversitySchool of Traditional Chinese and Western Medicine, Southwest Medical UniversitySchool of Traditional Chinese and Western Medicine, Southwest Medical UniversitySchool of Traditional Chinese and Western Medicine, Southwest Medical UniversitySchool of Traditional Chinese and Western Medicine, Southwest Medical UniversityDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical UniversitySchool of Physical Education, Southwest Medical UniversityDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical UniversityAbstract Background Syndesmosis injury is proposed to contribute to ankle stability and osteoarthritis (OA). However, whether distal tibiofibular syndesmosis structure is closely related to ankle OA is unclear. We hypothesized that different DTS morphology classifications would affect the biomechanics properties in ankle OA. The study aimed to determine the association between the distal tibiofibular syndesmosis (DTS) morphological classification and ankle OA. Methods This is a retrospective study examining imaging data of 147 patients (87 males and 60 females) with ankle OA. Magnetic resonance imaging was used to access the DTS morphological classification, according to measuring various parameters. Joint space narrowing and osteophytes were measured using ankle weight-bearing radiography. The classification and parameters were analyzed to determine the relationship between the syndesmosis classification and the abnormality of ankle OA. Results Five morphological classifications of the DTS, including Chevron (19.6%), Widow’s peak (16.2%), Flat (22.3%), Trapezoid (32.0%), and Crescent (19.6%), were shown. There were statistical differences between DTS classification and tibial angle surface angle (TAS) (P = .009) and talar tilt angle (TTA) (P = .014). The TAS (degree) of the Crescent (86.47 ± 3.21) was less than Chevron (88.75 ± 2.72) (P = .006), Widow’s peak (89.26 ± 3.15) (P = .001), Flat (88.83 ± 3.62) (P = .003) and Trapezoid (88.11 ± 2.62) (P = .041), respectively. The TTA (degree) of Crescent (86.83 ± 5.30) was less than Chevron (89.28 ± 2.46) and Widow’s peak (89.82 ± 3.41). The men were greater than women for TAS (P = .008) and angle (P = .003), which are consistent with osteophyte (P = .019) and the modified Kellgren–Lawrence grades (P = .041) between gender. Conclusions DTS morphological classification might affect the biomechanics properties in TAS and TTA in ankle OA. In clinical practice, surgeons should pay attention to the effects of DTS on ankle OA. Level of Evidence: Level III, retrospective study.https://doi.org/10.1186/s13018-023-03985-1Distal tibiofibular syndesmosisAnkle osteoarthritisMorphology classification |
| spellingShingle | Lei Huang XiaoHong Zhang Siyi Yang Jiwen Qing Wangyu Wu Houyin Shi Dingxuan Wang Lei Zhang Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study Journal of Orthopaedic Surgery and Research Distal tibiofibular syndesmosis Ankle osteoarthritis Morphology classification |
| title | Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study |
| title_full | Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study |
| title_fullStr | Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study |
| title_full_unstemmed | Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study |
| title_short | Association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis: a retrospective study |
| title_sort | association between the distal tibiofibular syndesmosis morphology classification and ankle osteoarthritis a retrospective study |
| topic | Distal tibiofibular syndesmosis Ankle osteoarthritis Morphology classification |
| url | https://doi.org/10.1186/s13018-023-03985-1 |
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