Do Coronal or Sagittal Plane Measurements Have the Highest Accuracy to Arthroscopically Diagnose Syndesmotic Instability?

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dc.contributor.authorBhimani, Rohan
dc.contributor.authorLubberts, Bart
dc.contributor.authorSornsakrin, Pongpanot
dc.contributor.authorMassri-Pugin, Jafet
dc.contributor.authorWaryasz, Gregory
dc.contributor.authorDiGiovanni, Christopher W.
dc.contributor.authorGuss, Daniel
dc.date.accessioned2025-01-20T22:18:01Z
dc.date.available2025-01-20T22:18:01Z
dc.date.issued2021
dc.description.abstractBackground:
dc.description.abstractTo compare the accuracy of arthroscopic sagittal versus coronal plane distal tibiofibular motion toward diagnosing syndesmotic instability.
dc.description.abstractMethods:
dc.description.abstractArthroscopic assessment of the syndesmosis was performed on 21 above-knee cadaveric specimens, first with all ligaments intact and subsequently with sequential transection of the anterior inferior tibiofibular ligament, the interosseous ligament, the posterior inferior tibiofibular ligament, and the deltoid ligament. A lateral hook test, an anterior-to-posterior (AP) translation test, and a posterior-to-anterior (PA) translation test were performed under 100 N of applied force. Anterior and posterior third coronal plane diastasis and AP and PA sagittal plane fibular translations were measured relative to the static tibia.
dc.description.abstractResults:
dc.description.abstractReceiver operating characteristic (ROC) curve analysis revealed that the area under the curve (AUC) was higher for the combined AP and PA sagittal measurements (AUC, 0.91; accuracy, 83.5%; sensitivity, 78%; specificity, 89%) than the coronal plane measurements (anterior third: AUC, 0.65; accuracy, 60.5%; sensitivity, 63%; specificity, 59%; posterior third: AUC, 0.73; accuracy, 68.5%; sensitivity, 80%; specificity, 57%) (P < .001), underscoring the higher accuracy of sagittal plane measurements.
dc.description.abstractConclusion:
dc.description.abstractArthroscopic measurement of sagittal plane fibular translation is more accurate than coronal plane diastasis for evaluating syndesmotic instability.
dc.description.abstractLevel of Evidence:
dc.description.abstractBiomechanical cadaveric study.
dc.fuente.origenWOS
dc.identifier.doi10.1177/10711007211004151
dc.identifier.eissn1944-7876
dc.identifier.issn1071-1007
dc.identifier.urihttps://doi.org/10.1177/10711007211004151
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94565
dc.identifier.wosidWOS:000661950300016
dc.issue.numero6
dc.language.isoen
dc.pagina.final809
dc.pagina.inicio805
dc.revistaFoot & ankle international
dc.rightsacceso restringido
dc.subjectankle
dc.subjectsyndesmosis
dc.subjectinstability
dc.subjectarthroscopy
dc.subjectdistal tibiofibular joint
dc.subjectdiagnosis
dc.titleDo Coronal or Sagittal Plane Measurements Have the Highest Accuracy to Arthroscopically Diagnose Syndesmotic Instability?
dc.typeartículo
dc.volumen42
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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