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Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography.

Publication ,  Journal Article
Haj-Mirzaian, A; Shakoor, D; Hafezi-Nejad, N; de Cesar Netto, C; Dalili, D; Mousavian, A; Schon, LC; Demehri, S
Published in: J Comput Assist Tomogr
July 2022

OBJECTIVE: The aim of this study was to evaluate the association between 4-dimensional computed tomography (4DCT)-derived measurements of tibiofibular syndesmosis during active dorsiflexion-plantarflexion motion and the presence of tibiotalar osteoarthritis (OA). METHODS: Sixteen ankle joints underwent 4DCT imaging during active dorsiflexion-plantarflexion. Syndesmotic anterior distance (SAD) and syndesmotic translation (ST) were obtained by a foot-and-ankle surgeon. We used Kellgren-Lawrence (KL) grading to determine tibiotalar OA. RESULTS: Of 16 scanned ankles, 12 ankles had KL ≥2 at the tibiotalar joint. In these ankles, SAD (-0.4, P = 0.02) and ST (-0.9, P = 0.006) measurements significantly changed during the dorsiflexion-plantarflexion motion. Changes in SAD measurements were significantly correlated with the KL grades (correlation coefficient: -0.688, P = 0.003); however, the changes in ST measurements were not significantly correlated with the KL grade. CONCLUSIONS: Our exploratory cross-sectional analysis shows that SAD measurement changes during motion using 4DCT are correlated with the tibiotalar OA grading. This measurement may be used but requires confirmation in larger studies including patients with actual syndesmotic injuries.

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Published In

J Comput Assist Tomogr

DOI

EISSN

1532-3145

Publication Date

July 2022

Volume

46

Issue

4

Start / End Page

633 / 637

Location

United States

Related Subject Headings

  • Osteoarthritis
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Four-Dimensional Computed Tomography
  • Cross-Sectional Studies
  • Biomechanical Phenomena
  • Ankle Joint
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Haj-Mirzaian, A., Shakoor, D., Hafezi-Nejad, N., de Cesar Netto, C., Dalili, D., Mousavian, A., … Demehri, S. (2022). Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography. J Comput Assist Tomogr, 46(4), 633–637. https://doi.org/10.1097/RCT.0000000000001310
Haj-Mirzaian, Arya, Delaram Shakoor, Nima Hafezi-Nejad, Cesar de Cesar Netto, Danoob Dalili, Alireza Mousavian, Lew C. Schon, and Shadpour Demehri. “Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography.J Comput Assist Tomogr 46, no. 4 (July 2022): 633–37. https://doi.org/10.1097/RCT.0000000000001310.
Haj-Mirzaian A, Shakoor D, Hafezi-Nejad N, de Cesar Netto C, Dalili D, Mousavian A, et al. Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography. J Comput Assist Tomogr. 2022 Jul;46(4):633–7.
Haj-Mirzaian, Arya, et al. “Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography.J Comput Assist Tomogr, vol. 46, no. 4, July 2022, pp. 633–37. Pubmed, doi:10.1097/RCT.0000000000001310.
Haj-Mirzaian A, Shakoor D, Hafezi-Nejad N, de Cesar Netto C, Dalili D, Mousavian A, Schon LC, Demehri S. Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography. J Comput Assist Tomogr. 2022 Jul;46(4):633–637.

Published In

J Comput Assist Tomogr

DOI

EISSN

1532-3145

Publication Date

July 2022

Volume

46

Issue

4

Start / End Page

633 / 637

Location

United States

Related Subject Headings

  • Osteoarthritis
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Four-Dimensional Computed Tomography
  • Cross-Sectional Studies
  • Biomechanical Phenomena
  • Ankle Joint
  • 1103 Clinical Sciences