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Talar coverage of the tibia plays a role in anterior ankle impingement: a retrospective cohort study

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Abstract

Purpose

Ankle impingement is generally characterised by limited range of motion and pain due to pathological contact between structures. Anterior ankle impingement is usually diagnosed by clinical examination and radiographic evidence of tibiotalar osteophytes. In addition to osteophytes, radiographs may show a correlation between the tibia and talus, which may further aid in the diagnosis of anterior ankle impingement. The purpose of this study is to investigate the relationship between the tibia and talus in anterior ankle impingement.

Methods

In this retrospective cohort study, the tibial coverage of 22 patients with anterior ankle impingement was compared with that of 67 healthy subjects.

Results

The percentage of tibial coverage was 0.674 ± 0.043 in the anterior ankle impingement group and 0.580 ± 0.032 in the control group. The difference between groups was statistically significant (P < 0.05).

Conclusions

In addition to existing criteria, the percentage of tibial coverage may provide valuable information for the diagnosis of anterior ankle impingement.

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Data availability

The datasets used or analysed during the current study are available from the corresponding author on reasonable request.

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Funding

Funding was provided by the Medical Scientific Research Foundation of Zhejiang Province, China (2019KY602), and Gusu Health Talents (GSWS2020069).

Author information

Author notes

  1. Yongqing Yan and Hao Lu contributed equally to this work and share first authorship.

Authors and Affiliations

  1. Department of Orthopedics, HwaMei Hospital, University of Chinese Academy of Science, Province, Ningbo City Zhejiang, 315010, China

    Yongqing Yan

  2. Department of Orthopedics and Trauma, Peking University People’s Hospital, Beijing, 100044, China

    Hao Lu & Hailin Xu

  3. Department of Orthopaedics, Suzhou Municipal Hospital, The Affiliated Hospital of Nanjing Medical University, No. 26, Daoqian Street, Suzhou, Jiangsu Province, 215002, China

    Jingyu Zhang, Xiao Yu, Yubo Liu, Guangxiang Chen & Renjie Xu

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  1. Yongqing Yan
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  2. Hao Lu
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  4. Xiao Yu
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  5. Yubo Liu
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Contributions

Y. Q. Y. and H. L. analysed the patients’ data and were major contributors in writing the manuscript. J. Y. Z., X. Y., Y. B. L., and G. X. C. collected the data. R. J. X. and H. L. X. took part in designing the study, translating it into English, and data analysis. All authors read and approved the final manuscript and the author’s order.

Corresponding author

Correspondence to Renjie Xu.

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Ethics approval and consent to participate

Ethical approval was obtained by the ethics committee of Suzhou Municipal Hospital. All consents to participate were obtained from the participants.

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We have consent for publication for every patient in our series.

Competing interests

The authors declare no competing interests.

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Yan, Y., Lu, H., Zhang, J. et al. Talar coverage of the tibia plays a role in anterior ankle impingement: a retrospective cohort study. International Orthopaedics (SICOT) 47, 2693–2698 (2023). https://doi.org/10.1007/s00264-023-05898-4

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  • DOI: https://doi.org/10.1007/s00264-023-05898-4

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