Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/59202
Type: Artigo de Periódico
Title: Does foot position and location of measurement influence ankle medial clear space?
Authors: Daniel Soares Baumfeld
Tiago Baumfeld
João Cangussú
Benjamim Macedo
Thiago Alexandre Alves Silva
Fernando Raduan
Caio Nery
Abstract: Abstract: Purpose. There is still controversy regarding normal and abnormal values of the medial clear space (MCS) of the ankle. The aim of this study was to assess how much different degrees of plantar flexion,with and without stress, influenced the MCS. Methods. We submitted 30 volunteers to 6 different anteroposterior ankle radiographs in the following positions: neutral, neutral with external rotation stress, physiologic plantar flexion (FPF), physiologic plantar flexion with external rotation stress, maximum plantar flexion (MPF), and maximum plantar flexion with external rotation stress.The MCS oblique (MCSo) and perpendicular (MCSp) were measured in all images by an experienced foot and ankle surgeon. Results. The data showed that the position of the foot does influence the value of MCSp and MCSo (P < .05), except for 3 comparisons. MCSo did not change between FPF with stress and MPF with stress. MCSp did not change in 2 situations: between FPF and neutral with stress and between MPF and FPF with stress. Conclusions. This study is unique in showing that different ways of positioning the foot and performing stress radiographs results in different MCS values and that these values differ depending on the anatomical site where they are measured. Levels of Evidence: Diagnostic, Level IV.
Subject: Ankle Joint
Ankle Fractures
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE APARELHO LOCOMOTOR
Rights: Acesso Restrito
metadata.dc.identifier.doi: 10.1177/1938640017699918
URI: http://hdl.handle.net/1843/59202
Issue Date: 2017
metadata.dc.url.externa: https://journals.sagepub.com/doi/10.1177/1938640017699918?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
metadata.dc.relation.ispartof: Foot & Ankle Specialist
Appears in Collections:Artigo de Periódico

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