Distance mapping and volumetric assessment of the ankle and syndesmotic joints in progressive collapsing foot deformity

Kevin Dibbern; Victoria Vivtcharenko; Nacime Salomao Barbachan Mansur; Matthieu Lalevée; Kepler Alencar Mendes de Carvalho; François Lintz; Alexej Barg; Andrew J Goldberg; Cesar de Cesar Netto

doi:10.1038/s41598-023-31810-6

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Distance mapping and volumetric assessment of the ankle and syndesmotic joints in progressive collapsing foot deformity

Journal article

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Distance mapping and volumetric assessment of the ankle and syndesmotic joints in progressive collapsing foot deformity

Kevin Dibbern, Victoria Vivtcharenko, Nacime Salomao Barbachan Mansur, Matthieu Lalevée, Kepler Alencar Mendes de Carvalho, François Lintz, Alexej Barg, Andrew J Goldberg and Cesar de Cesar Netto

Scientific reports, Vol.13(1), 4801

03/23/2023

DOI: 10.1038/s41598-023-31810-6

PMCID: PMC10036322

PMID: 36959355

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Abstract

The early effects of progressive collapsing foot deformity (PCFD) on the ankle and syndesmotic joints have not been three-dimensionally quantified. This case-control study focused on using weight bearing CT (WBCT) distance (DM) and coverage maps (CM) and volumetric measurements as 3D radiological markers to objectively characterize early effects of PCFD on the ankle and syndesmotic joints. Seventeen consecutive patients with symptomatic stage I flexible PCFD and 20 matched controls that underwent foot/ankle WBCT were included. Three-dimensional DM and CM of the ankle and syndesmotic joints, as well volumetric assessment of the distal tibiofibular syndesmosis was performed as possible WBCT markers of early PCFD. Measurements were compared between PCFD and controls. Significant overall reductions in syndesmotic incisura distances were observed in PCFD patients when compared to controls, with no difference in the overall syndesmotic incisura volume at 1, 3, 5 and 10 cm proximally to the ankle joint. CMs showed significantly decreased articular coverage of the anterior regions of the tibiotalar joint as well as medial/lateral ankle joint gutters in PCFD patients. This study showed syndesmotic narrowing and decreased articular coverage of the anterior aspect of the ankle gutters and talar dome in stage I PCFD patients when compared to controls. These findings are consistent with early plantarflexion of the talus within the ankle Mortise, and absence of true syndesmotic overload in early PCFD, and support DM and CM as early 3D PCFD radiological markers.

Details

Title: Subtitle: Distance mapping and volumetric assessment of the ankle and syndesmotic joints in progressive collapsing foot deformity
Creators: Kevin Dibbern - Department of Orthopedics and Rehabilitation, Carver College of Medicine, University of Iowa (UIOWA), 200 Hawkins Drive, Iowa City, IA, 52242, USA
Victoria Vivtcharenko - Department of Orthopedics and Rehabilitation, Carver College of Medicine, University of Iowa (UIOWA), 200 Hawkins Drive, Iowa City, IA, 52242, USA
Nacime Salomao Barbachan Mansur - University of Iowa
Matthieu Lalevée - Service d'orthopédie Traumatologie, Centre Hospitalier Universitaire de Rouen, Rouen, France
Kepler Alencar Mendes de Carvalho - University of Iowa
François Lintz - Ramsay GDS - Clinique de L'Union, Saint-Jean, France
Alexej Barg - Universität Hamburg
Andrew J Goldberg - Stanmore Royal National Orthopaedic Hospital, Stanmore, UK
Cesar de Cesar Netto - University of Iowa
Resource Type: Journal article
Publication Details: Scientific reports, Vol.13(1), 4801
DOI: 10.1038/s41598-023-31810-6
PMID: 36959355
PMCID: PMC10036322
NLM abbreviation: Sci Rep
ISSN: 2045-2322
eISSN: 2045-2322
Language: English
Date published: 03/23/2023
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984380368402771

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