{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:42:20Z","timestamp":1788968540488,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NIAMS\u2010K01AR080221"],"award-info":[{"award-number":["NIAMS\u2010K01AR080221"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic ankle instability (CAI) can develop in up to 40% of patients after a first\u2010time ankle sprain. Advanced imaging and statistical shape modeling (SSM) provide the opportunity to evaluate if subtle differences in foot and ankle morphology, such as hindfoot alignment or cavus features, may contribute to structural predispositions for recurrent instability. In this study, a 14\u2010bone SSM was created from weight\u2010bearing CT data (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200980) from patients with CAI (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200923), cavus foot type (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200929), and rectus (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200928) foot type. Scans for the CAI group were from pre\u2010operative imaging of patients undergoing surgical stabilization. Meary's angle (MA), hindfoot ankle alignment (HAA), and calcaneal inclination were measured for each scan using in\u2010house code. Principal component analysis revealed that arch height (Mode 1, 36.9% of the variance) statistically distinguished the CAI and cavus groups from the rectus group. Minimal differences were observed between the CAI and cavus groups, with only Mode 5 (4.47% variance, \u2009=\u20090.09) separating the groups and Hotelling's T\n                    <jats:sup>2<\/jats:sup>\n                    confirming minimal variation (~2% of particles). Radiographic measurements supported these findings with higher MA in CAI (12\u00b0) and cavus (17\u00b0) versus rectus (0.2\u00b0), and varus HAA in CAI (6.0\u00b0) and cavus (5.9\u00b0) compared to rectus (9.8\u00b0). Individuals with CAI demonstrated cavus\u2010like morphology, indicating that bony alignment may be a structural contributor to recurrent instability. Clinically, these findings enhance our understanding that foot alignment plays a role in CAI. Surgical correction, when clinically appropriate, may need to address both osseous deformities and soft tissue laxity to improve stability. Level III Orthopedic Research Society.\n                  <\/jats:p>","DOI":"10.1002\/jor.70128","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T13:52:15Z","timestamp":1767189135000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Morphological Similarities of Chronic Ankle Instability and Cavus Foot Type Using Statistical Shape Modeling"],"prefix":"10.1002","volume":"44","author":[{"given":"E. Renae","family":"Lapins","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering University of Utah Salt Lake City Utah USA"},{"name":"Department of Mechanical Engineering University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alayna","family":"Fendler","sequence":"additional","affiliation":[{"name":"School of Medicine University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"LaTulip","sequence":"additional","affiliation":[{"name":"Orthopaedic Specialists of North Carolina Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon C.","family":"Nixon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-0906","authenticated-orcid":false,"given":"Amy L.","family":"Lenz","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering University of Utah Salt Lake City Utah USA"},{"name":"Department of Mechanical Engineering University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-344-18"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2013.0303"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.70214"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516656183"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505282616"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.12.003"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.07.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719858309"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0018"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-89-6-278"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.05.003"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211021352"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2008.01.003"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300107"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2020.61.7.635"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717740330"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00700"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2023.09.001"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.25328"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24831"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-86567-7"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23969"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2008.01.004"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473011419S00019"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.2.160077"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3941\/jrcr.v11i6.2757"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.25380"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-810493-4.00012-2"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.2307\/3236261"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.4103\/aca.ACA_157_18"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447303300111"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"e_1_2_7_34_1","unstructured":"A.Field Discovering Statistics Using IBM SPSS Statistics(Sage Publications Limited 2024)."},{"key":"e_1_2_7_35_1","first-page":"113","article-title":"Pairwise Multiple Comparison Procedures With Unequal N'S and\/or Variances: A Monte Carlo Study","volume":"1","author":"Games P. 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