지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 236 - 245 (10page)
이용수
초록· 키워드
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Purpose: The purpose of this study was to present a technique for measuring physiologic distal tibiofibular syndesmosis widening using 3-dimensional ultrasonography (3D-US) with an evaluation of its reliability, and to determine whether there were differences in the measurements between different dynamic stress tests. Methods: We retrospectively evaluated 3D-US of 20 subjects with normal ankle syndesmosis. 3D-US was performed in neutral (N), dorsiflexion with external rotation (DFER), and weightbearing standing (WB) positions at the anterior inferior tibiofibular ligament level in both ankles for comparison. Using 3D-US volume data, axial images were reconstructed at the level of the lateral prominence of the anterior tibial tubercle to ensure consistent measurements of the tibiofibular clear space (TFCS) by two radiologists. Results: There was a wide range of TFCS values among the subjects (N, 1.2 to 4.2 mm; DFER, 2.3 to 4.8 mm; WB, 1.7 to 4.6 mm). When both ankles of each subject were evaluated, the side-toside differences were less than 1 mm in all positions, with high intraclass correlation coefficient (ICC) values between both ankles (ICC, 0.85 to 0.93). The inter-rater agreement for all TFCS measurements between the two radiologists was excellent (ICC, 0.81 to 0.96). In comparisons between the two dynamic stress tests, the TFCS was significantly wider in the DFER position than in the WB position (DFER vs. WB, 3.3 mm vs. 2.9 mm; P<0.001). Conclusion: Using 3D-US, we were able to consistently evaluate the TFCS with good reliability. In a comparison of the two dynamic tests, there was more significant widening of the TFCS in the DFER position than in the WB position.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Nathaniel B. Meyer / 2018 / Musculoskeletal ultrasound: athletic injuries of the lower extremity / ULTRASONOGRAPHY 37(3):175~189
Mei-Dan O / 2013 / Standardization of the functional syndesmosis widening by dynamic U.S examination / BMC Sports Sci Med Rehabil 5:9
Anand Prakash A / 2018 / Syndesmotic stability: is there a radiological normal? A systematic review / Foot Ankle Surg 24:174~184
Miller BS / 2012 / Time to return to play after high ankle sprains in collegiate football players: a prediction model / Sports Health 4:504~509
Beumer A / 2004 / Radiographic measurement of the distal tibiofibular syndesmosis has limited use / Clin Orthop Relat Res (423):227~234
Mei-Dan O / 2013 / Standardization of the functional syndesmosis widening by dynamic U.S examination / BMC Sports Sci Med Rehabil 5:9
Anand Prakash A / 2018 / Syndesmotic stability: is there a radiological normal? A systematic review / Foot Ankle Surg 24:174~184
Miller BS / 2012 / Time to return to play after high ankle sprains in collegiate football players: a prediction model / Sports Health 4:504~509
Beumer A / 2004 / Radiographic measurement of the distal tibiofibular syndesmosis has limited use / Clin Orthop Relat Res (423):227~234
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