{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:58:08Z","timestamp":1793354288970,"version":"4.5.0"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T00:00:00Z","timestamp":1540512000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T00:00:00Z","timestamp":1540512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100005294","name":"Massachusetts General Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005294","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee Surg Sports Traumatol Arthrosc"],"published-print":{"date-parts":[[2020,1]]},"DOI":"10.1007\/s00167-018-5229-3","type":"journal-article","created":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T14:05:05Z","timestamp":1540562705000},"page":"193-201","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["The arthroscopic syndesmotic assessment tool can differentiate between stable and unstable ankle syndesmoses"],"prefix":"10.1002","volume":"28","author":[{"given":"Bart","family":"Lubberts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Guss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan G.","family":"Vopat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne H.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Niek","family":"van Dijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher W.","family":"DiGiovanni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,26]]},"reference":[{"key":"5229_CR1","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1080\/000164700317381243","volume":"71","author":"A Beumer","year":"2000","unstructured":"Beumer A, Heijboer RP, Fontijne WP, Swierstra BA (2000) Late reconstruction of the anterior distal tibiofibular syndesmosis: good outcome in 9 patients. Acta Orthop Scand 71:519\u2013521","journal-title":"Acta Orthop Scand"},{"key":"5229_CR2","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1080\/17453670610012557","volume":"77","author":"A Beumer","year":"2006","unstructured":"Beumer A, Valstar ER, Garling EH, Niesing R, Ginai AZ, Ranstam J et al (2006) Effects of ligament sectioning on the kinematics of the distal tibiofibular syndesmosis: a radiostereometric study of 10 cadaveric specimens based on presumed trauma mechanisms with suggestions for treatment. Acta Orthop 77:531\u2013540","journal-title":"Acta Orthop"},{"key":"5229_CR3","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1080\/17453670510041817","volume":"76","author":"A Beumer","year":"2005","unstructured":"Beumer A, Valstar ER, Garling EH, Niesing R, Heijboer RP, Ranstam J et al (2005) Kinematics before and after reconstruction of the anterior syndesmosis of the ankle: a prospective radiostereometric and clinical study in 5 patients. Acta Orthop 76:713\u2013720","journal-title":"Acta Orthop"},{"key":"5229_CR4","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1097\/01.blo.0000129152.81015.ad","volume":"423","author":"A Beumer","year":"2004","unstructured":"Beumer A, van Hemert WL, Niesing R, Entius CA, Ginai AZ, Mulder PG et al (2004) Radiographic measurement of the distal tibiofibular syndesmosis has limited use. Clin Orthop Relat Res 423:227\u2013234","journal-title":"Clin Orthop Relat Res"},{"key":"5229_CR5","doi-asserted-by":"publisher","first-page":"131","DOI":"10.2214\/ajr.182.1.1820131","volume":"182","author":"KW Brown","year":"2004","unstructured":"Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H (2004) MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol 182:131\u2013136","journal-title":"AJR Am J Roentgenol"},{"key":"5229_CR6","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1016\/j.arthro.2015.10.003","volume":"32","author":"JD Calder","year":"2016","unstructured":"Calder JD, Bamford R, Petrie A, McCollum GA (2016) Stable versus unstable grade II high ankle sprains: a prospective study predicting the need for surgical stabilization and time to return to sports. Arthroscopy 32:634\u2013642","journal-title":"Arthroscopy"},{"key":"5229_CR7","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1016\/j.injury.2003.10.013","volume":"35","author":"JJ Candal-Couto","year":"2004","unstructured":"Candal-Couto JJ, Burrow D, Bromage S, Briggs PJ (2004) Instability of the tibio-fibular syndesmosis: have we been pulling in the wrong direction? Injury 35:814\u2013818","journal-title":"Injury"},{"key":"5229_CR8","doi-asserted-by":"publisher","first-page":"2373","DOI":"10.1016\/j.arthro.2016.08.016","volume":"32","author":"KB Chan","year":"2016","unstructured":"Chan KB, Lui TH (2016) Role of ankle arthroscopy in management of acute ankle fracture. Arthroscopy 32:2373\u20132380","journal-title":"Arthroscopy"},{"key":"5229_CR9","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.1007\/s00167-014-3399-1","volume":"24","author":"TO Clanton","year":"2016","unstructured":"Clanton TO, Ho CP, Williams BT, Surowiec RK, Gatlin CC, Haytmanek CT et al (2016) Magnetic resonance imaging characterization of individual ankle syndesmosis structures in asymptomatic and surgically treated cohorts. Knee Surg Sports Traumatol Arthrosc 24:2089\u20132102","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5229_CR10","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1016\/S1083-7515(02)00045-1","volume":"7","author":"TO Clanton","year":"2002","unstructured":"Clanton TO, Paul P (2002) Syndesmosis injuries in athletes. Foot Ankle Clin 7:529\u2013549","journal-title":"Foot Ankle Clin"},{"key":"5229_CR11","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s00402-015-2371-y","volume":"136","author":"C Colcuc","year":"2016","unstructured":"Colcuc C, Fischer S, Colcuc S, Busse D, Bliemel C, Neun O et al (2016) Treatment strategies for partial chronic instability of the distal syndesmosis: an arthroscopic grading scale and operative staging concept. Arch Orthop Trauma Surg 136:157\u2013163","journal-title":"Arch Orthop Trauma Surg"},{"key":"5229_CR12","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1016\/j.arthro.2016.11.008","volume":"33","author":"R Feller","year":"2017","unstructured":"Feller R, Borenstein T, Fantry AJ, Kellum RB, Machan JT, Nickisch F et al (2017) Arthroscopic quantification of syndesmotic instability in a cadaveric model. Arthroscopy 33:436\u2013444","journal-title":"Arthroscopy"},{"key":"5229_CR13","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1111\/j.1469-1809.1936.tb02137.x","volume":"7","author":"RA Fisher","year":"1936","unstructured":"Fisher RA (1936) The use of multiple measurements in taxonomic problems. Ann Eugen 7:179\u2013188","journal-title":"Ann Eugen"},{"key":"5229_CR14","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1177\/0363546504267349","volume":"33","author":"K Flik","year":"2005","unstructured":"Flik K, Lyman S, Marx RG (2005) American collegiate men\u2019s ice hockey: an analysis of injuries. Am J Sports Med 33:183\u2013187","journal-title":"Am J Sports Med"},{"key":"5229_CR15","first-page":"768","volume":"21","author":"EW Forgy","year":"1965","unstructured":"Forgy EW (1965) Cluster analysis of multivariate data: efficiency versus interpretability of classifications. Biometrics 21:768\u2013769","journal-title":"Biometrics"},{"key":"5229_CR16","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1177\/036354658901700223","volume":"17","author":"D Fritschy","year":"1989","unstructured":"Fritschy D (1989) An unusual ankle injury in top skiers. Am J Sports Med 17:282\u2013285","journal-title":"Am J Sports Med"},{"key":"5229_CR17","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1177\/107110079801901002","volume":"19","author":"JP Gerber","year":"1998","unstructured":"Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC (1998) Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 19:653\u2013660","journal-title":"Foot Ankle Int"},{"key":"5229_CR18","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1177\/1071100716688198","volume":"38","author":"GP Guyton","year":"2017","unstructured":"Guyton GP, DeFontes K 3rd, Barr CR, Parks BG, Camire LM (2017) Arthroscopic correlates of subtle syndesmotic injury. Foot Ankle Int 38:502\u2013506","journal-title":"Foot Ankle Int"},{"key":"5229_CR19","doi-asserted-by":"publisher","first-page":"336","DOI":"10.3113\/FAI.2007.0336","volume":"28","author":"SH Han","year":"2007","unstructured":"Han SH, Lee JW, Kim S, Suh J-S, Choi YR (2007) Chronic tibiofibular syndesmosis injury: the diagnostic efficiency of magnetic resonance imaging and comparative analysis of operative treatment. Foot Ankle Int 28:336\u2013342","journal-title":"Foot Ankle Int"},{"key":"5229_CR20","doi-asserted-by":"publisher","first-page":"821","DOI":"10.2106\/JBJS.G.01288","volume":"91","author":"N Haraguchi","year":"2009","unstructured":"Haraguchi N, Armiger RS (2009) A new interpretation of the mechanism of ankle fracture. J Bone Joint Surg Am 91:821\u2013829","journal-title":"J Bone Joint Surg Am"},{"key":"5229_CR21","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.fcl.2013.02.001","volume":"18","author":"S Hepple","year":"2013","unstructured":"Hepple S, Guha A (2013) The role of ankle arthroscopy in acute ankle injuries of the athlete. Foot Ankle Clin 18:185\u2013194","journal-title":"Foot Ankle Clin"},{"key":"5229_CR22","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1007\/s00256-011-1284-2","volume":"41","author":"JJ Hermans","year":"2012","unstructured":"Hermans JJ, Wentink N, Beumer A, Hop WCJ, Heijboer MP, Moonen AFCM et al (2012) Correlation between radiological assessment of acute ankle fractures and syndesmotic injury on MRI. Skeletal Radiol 41:787\u2013801","journal-title":"Skeletal Radiol"},{"key":"5229_CR23","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1177\/107110079001000607","volume":"10","author":"WJ Hopkinson","year":"1990","unstructured":"Hopkinson WJ, St Pierre P, Ryan JB, Wheeler JH (1990) Syndesmosis sprains of the ankle. Foot Ankle 10:325\u2013330","journal-title":"Foot Ankle"},{"key":"5229_CR24","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.fas.2011.11.003","volume":"18","author":"T Huber","year":"2012","unstructured":"Huber T, Schmoelz W, Bolderl A (2012) Motion of the fibula relative to the tibia and its alterations with syndesmosis screws: a cadaver study. Foot Ankle Surg 18:203\u2013209","journal-title":"Foot Ankle Surg"},{"key":"5229_CR25","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1097\/JSM.0b013e31827ee829","volume":"23","author":"KJ Hunt","year":"2013","unstructured":"Hunt KJ, George E, Harris AH, Dragoo JL (2013) Epidemiology of syndesmosis injuries in intercollegiate football: incidence and risk factors from National Collegiate Athletic Association injury surveillance system data from 2004 to 2005 to 2008\u20132009. Clin J Sport Med 23:278\u2013282","journal-title":"Clin J Sport Med"},{"key":"5229_CR26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2473011418780429","volume":"3","author":"N Jain","year":"2018","unstructured":"Jain N, Murray D, Kemp S, Calder JD (2018) High-speed video analysis of syndesmosis injuries in soccer\u2014can it predict injury mechanism and return to play? A pilot study. Foot Ankle Orthop 3:1\u20135","journal-title":"Foot Ankle Orthop"},{"key":"5229_CR27","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1097\/BOT.0000000000000010","volume":"28","author":"KN Jiang","year":"2014","unstructured":"Jiang KN, Schulz BM, Tsui YL, Gardner TR, Greisberg JK (2014) Comparison of radiographic stress tests for syndesmotic instability of supination-external rotation ankle fractures: a cadaveric study. J Orthop Trauma 28:123\u2013127","journal-title":"J Orthop Trauma"},{"key":"5229_CR28","first-page":"40","volume":"40","author":"LD Kaplan","year":"2011","unstructured":"Kaplan LD, Jost PW, Honkamp N, Norwig J, West R, Bradley JP (2011) Incidence and variance of foot and ankle injuries in elite college football players. Am J Orthop (Belle Mead NJ) 40:40\u201344","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"5229_CR29","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1007\/s00256-017-2823-2","volume":"47","author":"N Krahenbuhl","year":"2018","unstructured":"Krahenbuhl N, Weinberg MW, Davidson NP, Mills MK, Hintermann B, Saltzman CL et al (2018) Imaging in syndesmotic injury: a systematic literature review. Skelet Radiol 47:631\u2013648","journal-title":"Skelet Radiol"},{"key":"5229_CR30","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1177\/002224377501200411","volume":"12","author":"Z Lambert","year":"1975","unstructured":"Lambert Z, Durand R (1975) Some precautions in using canonical analysis. J Mark Res 12:468\u2013475","journal-title":"J Mark Res"},{"key":"5229_CR31","doi-asserted-by":"publisher","first-page":"1350","DOI":"10.1177\/1071100716666865","volume":"37","author":"JM LaMothe","year":"2016","unstructured":"LaMothe JM, Baxter JR, Murphy C, Gilbert S, DeSandis B, Drakos MC (2016) Three-dimensional analysis of fibular motion after fixation of syndesmotic injuries with a screw or suture-button construct. Foot Ankle Int 37:1350\u20131356","journal-title":"Foot Ankle Int"},{"key":"5229_CR32","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1109\/TIT.1982.1056489","volume":"28","author":"SP Lloyd","year":"1982","unstructured":"Lloyd SP (1982) Least squares quantization in PCM. IEEE Trans Inf Theory 28:129\u2013137","journal-title":"IEEE Trans Inf Theory"},{"key":"5229_CR33","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.clinbiomech.2017.09.013","volume":"50","author":"B Lubberts","year":"2017","unstructured":"Lubberts B, Guss D, Vopat BG, Wolf JC, Moon DK, DiGiovanni CW (2017) The effect of ankle distraction on arthroscopic evaluation of syndesmotic instability: a cadaveric study. Clin Biomech (Bristol Avon) 50:16\u201320","journal-title":"Clin Biomech (Bristol Avon)"},{"key":"5229_CR34","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1136\/jisakos-2016-000058","volume":"1","author":"B Lubberts","year":"2016","unstructured":"Lubberts B, van Dijk PAD, Calder JD, DiGiovanni CW (2016) There is no best surgical treatment for chronic isolated syndesmotic instability: a systematic review. J ISAKOS 1:250\u2013256","journal-title":"J ISAKOS"},{"key":"5229_CR35","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1136\/jisakos-2015-000026","volume":"1","author":"B Lubberts","year":"2016","unstructured":"Lubberts B, van Dijk PAD, Donovan N, van Dijk CN, Calder JD (2016) Time to return to sports after management of stable and unstable grade II syndesmotic injuries: a systematic review. J ISAKOS 1:192\u2013197","journal-title":"J ISAKOS"},{"key":"5229_CR36","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1177\/1938640016666913","volume":"9","author":"DE Lucas","year":"2016","unstructured":"Lucas DE, Watson BC, Simpson GA, Berlet GC, Hyer CF (2016) Arthroscopic evaluation of syndesmotic instability and malreduction. Foot Ankle Spec 9:500\u2013505","journal-title":"Foot Ankle Spec"},{"key":"5229_CR37","first-page":"1370","volume":"21","author":"TH Lui","year":"2005","unstructured":"Lui TH, Ip K, Chow HT (2005) Comparison of radiologic and arthroscopic diagnoses of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy 21:1370","journal-title":"Arthroscopy"},{"key":"5229_CR38","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.fcl.2013.02.002","volume":"18","author":"MF Mak","year":"2013","unstructured":"Mak MF, Gartner L, Pearce CJ (2013) Management of syndesmosis injuries in the elite athlete. Foot Ankle Clin 18:195\u2013214","journal-title":"Foot Ankle Clin"},{"key":"5229_CR39","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1177\/1071100717729492","volume":"38","author":"J Massri-Pugin","year":"2017","unstructured":"Massri-Pugin J, Lubberts B, Vopat BG, Guss D, Hosseini A, DiGiovanni CW (2017) Effect of sequential sectioning of ligaments on syndesmotic instability in the coronal plane evaluated arthroscopically. Foot Ankle Int 38:1387\u20131393","journal-title":"Foot Ankle Int"},{"key":"5229_CR40","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1177\/1071100717750577","volume":"39","author":"J Massri-Pugin","year":"2018","unstructured":"Massri-Pugin J, Lubberts B, Vopat BG, Wolf JC, DiGiovanni CW, Guss D (2018) Role of the deltoid ligament in syndesmotic instability. Foot Ankle Int 39:598\u2013603","journal-title":"Foot Ankle Int"},{"key":"5229_CR41","doi-asserted-by":"crossref","unstructured":"Nielson JH, Gardner MJ, Peterson MG, Sallis JG, Potter HG, Helfet DL et al (2005) Radiographic measurements do not predict syndesmotic injury in ankle fractures: an MRI study. Clin Orthop Relat Res 216\u2013221","DOI":"10.1097\/01.blo.0000161090.86162.19"},{"key":"5229_CR42","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1177\/03635465010290011001","volume":"29","author":"ED Nussbaum","year":"2001","unstructured":"Nussbaum ED, Hosea TM, Sieler SD, Incremona BR, Kessler DE (2001) Prospective evaluation of syndesmotic ankle sprains without diastasis. Am J Sports Med 29:31\u201335","journal-title":"Am J Sports Med"},{"key":"5229_CR43","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1148\/radiol.2271011865","volume":"227","author":"K Oae","year":"2003","unstructured":"Oae K, Takao M, Naito K, Uchio Y, Kono T, Ishida J et al (2003) Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology 227:155\u2013161","journal-title":"Radiology"},{"key":"5229_CR44","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1016\/S0749-8063(97)90181-X","volume":"13","author":"DJ Ogilvie-Harris","year":"1997","unstructured":"Ogilvie-Harris DJ, Gilbart MK, Chorney K (1997) Chronic pain following ankle sprains in athletes: the role of arthroscopic surgery. Arthroscopy 13:564\u2013574","journal-title":"Arthroscopy"},{"key":"5229_CR45","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1016\/S0749-8063(05)80015-5","volume":"10","author":"DJ Ogilvie-Harris","year":"1994","unstructured":"Ogilvie-Harris DJ, Reed SC (1994) Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy 10:561\u2013568","journal-title":"Arthroscopy"},{"key":"5229_CR46","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1177\/107110070202300205","volume":"23","author":"SG Pneumaticos","year":"2002","unstructured":"Pneumaticos SG, Noble PC, Chatziioannou SN, Trevino SG (2002) The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle Int 23:107\u2013111","journal-title":"Foot Ankle Int"},{"key":"5229_CR47","doi-asserted-by":"publisher","first-page":"356","DOI":"10.2106\/00004623-197658030-00010","volume":"58","author":"PL Ramsey","year":"1976","unstructured":"Ramsey PL, Hamilton W (1976) Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am 58:356\u2013357","journal-title":"J Bone Joint Surg Am"},{"key":"5229_CR48","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3109\/17453678509154152","volume":"211","author":"O Rasmussen","year":"1985","unstructured":"Rasmussen O (1985) Stability of the ankle joint. Analysis of the function and traumatology of the ankle ligaments. Acta Orthop Scand Suppl 211:1\u201375","journal-title":"Acta Orthop Scand Suppl"},{"key":"5229_CR49","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1177\/1071100715606488","volume":"37","author":"PM Ryan","year":"2016","unstructured":"Ryan PM, Rodriguez RM (2016) Outcomes and return to activity after operative repair of chronic latent syndesmotic instability. Foot Ankle Int 37:192\u2013197","journal-title":"Foot Ankle Int"},{"key":"5229_CR50","doi-asserted-by":"publisher","first-page":"870","DOI":"10.3113\/FAI.2012.0870","volume":"33","author":"AS Shah","year":"2012","unstructured":"Shah AS, Kadakia AR, Tan GJ, Karadsheh MS, Wolter TD, Sabb B (2012) Radiographic evaluation of the normal distal tibiofibular syndesmosis. Foot Ankle Int 33:870\u2013876","journal-title":"Foot Ankle Int"},{"key":"5229_CR51","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1177\/096228029800700306","volume":"7","author":"PE Shrout","year":"1998","unstructured":"Shrout PE (1998) Measurement reliability and agreement in psychiatry. Stat Methods Med Res 7:301\u2013317","journal-title":"Stat Methods Med Res"},{"key":"5229_CR52","unstructured":"Stevens J (1986) Applied multivariate statistics for the social sciences. L Erlbaum Associates 375"},{"key":"5229_CR53","doi-asserted-by":"publisher","first-page":"2646","DOI":"10.2106\/JBJS.G.01537","volume":"91","author":"K Stoffel","year":"2009","unstructured":"Stoffel K, Wysocki D, Baddour E, Nicholls R, Yates P (2009) Comparison of two intraoperative assessment methods for injuries to the ankle syndesmosis. A cadaveric study. J Bone Joint Surg Am 91:2646\u20132652","journal-title":"J Bone Joint Surg Am"},{"key":"5229_CR54","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1016\/S0749-8063(01)90007-6","volume":"17","author":"M Takao","year":"2001","unstructured":"Takao M, Ochi M, Naito K, Iwata A, Kawasaki K, Tobita M et al (2001) Arthroscopic diagnosis of tibiofibular syndesmosis disruption. Arthroscopy 17:836\u2013843","journal-title":"Arthroscopy"},{"key":"5229_CR55","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1302\/0301-620X.85B3.13174","volume":"85","author":"M Takao","year":"2003","unstructured":"Takao M, Ochi M, Oae K, Naito K, Uchio Y (2003) Diagnosis of a tear of the tibiofibular syndesmosis. The role of arthroscopy of the ankle. J Bone Joint Surg Br 85:324\u2013329","journal-title":"J Bone Joint Surg Br"},{"key":"5229_CR56","first-page":"1067","volume":"18","author":"M Turky","year":"2018","unstructured":"Turky M, Menon KV, Saeed K (2018) Arthroscopic grading of injuries of the inferior tibiofibular syndesmosis. J Foot Ankle Surg 18:1067\u20132516","journal-title":"J Foot Ankle Surg"},{"key":"5229_CR57","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1007\/s00167-016-4017-1","volume":"24","author":"CN van Dijk","year":"2016","unstructured":"van Dijk CN, Longo UG, Loppini M, Florio P, Maltese L, Ciuffreda M et al (2016) Conservative and surgical management of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc 24:1217\u20131227","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5229_CR58","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1007\/s12178-017-9389-4","volume":"10","author":"ML Vopat","year":"2017","unstructured":"Vopat ML, Vopat BG, Lubberts B, DiGiovanni CW (2017) Current trends in the diagnosis and management of syndesmotic injury. Curr Rev Musculoskelet Med 10:94\u2013103","journal-title":"Curr Rev Musculoskelet Med"},{"key":"5229_CR59","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1186\/1471-2474-12-212","volume":"12","author":"ML Wagener","year":"2011","unstructured":"Wagener ML, Beumer A, Swierstra BA (2011) Chronic instability of the anterior tibiofibular syndesmosis of the ankle. Arthroscopic findings and results of anatomical reconstruction. BMC Musculoskelet Disord 12:212\u2013212","journal-title":"BMC Musculoskelet Disord"},{"key":"5229_CR60","doi-asserted-by":"publisher","first-page":"1362","DOI":"10.1177\/1071100715589631","volume":"36","author":"BC Watson","year":"2015","unstructured":"Watson BC, Lucas DE, Simpson GA, Berlet GC, Hyer CF (2015) Arthroscopic evaluation of syndesmotic instability in a cadaveric model. Foot Ankle Int 36:1362\u20131368","journal-title":"Foot Ankle Int"},{"key":"5229_CR61","doi-asserted-by":"publisher","first-page":"1941","DOI":"10.1177\/0363546504264581","volume":"32","author":"RW Wright","year":"2004","unstructured":"Wright RW, Barile RJ, Surprenant DA, Matava MJ (2004) Ankle syndesmosis sprains in national hockey league players. Am J Sports Med 32:1941\u20131945","journal-title":"Am J Sports Med"},{"key":"5229_CR62","doi-asserted-by":"publisher","first-page":"847","DOI":"10.2106\/00004623-199506000-00005","volume":"77","author":"JS Xenos","year":"1995","unstructured":"Xenos JS, Hopkinson WJ, Mulligan ME, Olson EJ, Popovic NA (1995) The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J Bone Joint Surg Am 77:847\u2013856","journal-title":"J Bone Joint Surg Am"},{"key":"5229_CR63","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s13018-018-0804-3","volume":"13","author":"M Yu","year":"2018","unstructured":"Yu M, Zhang Y, Su Y, Wang F, Zhao D (2018) An anthropometric study of distal tibiofibular syndesmosis (DTS) in a Chinese population. J Orthop Surg Res 13:95","journal-title":"J Orthop Surg Res"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-018-5229-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-018-5229-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-018-5229-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T19:23:49Z","timestamp":1702668229000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00167-018-5229-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,26]]},"references-count":63,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["5229"],"URL":"https:\/\/doi.org\/10.1007\/s00167-018-5229-3","relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,26]]},"assertion":[{"value":"26 June 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 October 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 October 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"There were no relationships\/conditions\/circumstances that present a potential conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Partners Human Research Committee under ID number: 2016P001295.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}