{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:54:25Z","timestamp":1777388065428,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2003,11,1]],"date-time":"2003-11-01T00:00:00Z","timestamp":1067644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2003,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Specific anatomic variations of the ankle mortise may predispose people to ankle sprains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>There is a correlation between a higher malleolar index (posteriorly positioned fibula) and incidence of ankle sprain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective case control study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We compared the malleolar index (transverse plane of the talus) on computerized axial tomographic images of 61 patients with ankle sprain with that of 101 normal controls. A positive number for the malleolar index meant that the lateral malleolus was posterior to the plane of the medial malleolus. A negative number meant that the lateral malleolus was actually anterior to the plane of the medial malleolus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average malleolar index of the patients with ankle sprain was +11.5\u00b0 with a standard deviation of 7\u00b0. Malleolar relationships varied from \u20146\u00b0 to +39\u00b0, a range of 45\u00b0. The average malleolar index in the control group was +5.85\u00b0 with a standard deviation of 4.9\u00b0, which varied from \u20148\u00b0 to +16\u00b0. However, there was no correlation between recurrence of sprains and malleolar index values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with an ankle sprain were more likely to have a posteriorly positioned fibula, possibly predisposing them to ankle sprain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465030310064101","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T06:12:27Z","timestamp":1500444747000},"page":"995-998","source":"Crossref","is-referenced-by-count":37,"title":["The Role of a Posteriorly Positioned Fibula in Ankle Sprain"],"prefix":"10.1177","volume":"31","author":[{"given":"Osman Tugrul","family":"Eren","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"Kucukkaya","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedic Surgery, Sisli Etfal Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"Kabukcuoglu","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedic Surgery, Sisli Etfal Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Unal","family":"Kuzgun","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedic Surgery, Sisli Etfal Research and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,11,1]]},"reference":[{"key":"bibr1-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200505"},{"key":"bibr2-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300508"},{"key":"bibr3-03635465030310064101","first-page":"313","volume":"24","author":"Bremer SW","year":"1985","journal-title":"J Foot Surg"},{"key":"bibr4-03635465030310064101","first-page":"40","volume":"40","author":"Carter C.","year":"1958","journal-title":"J Bone Joint Surg"},{"key":"bibr5-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199811000-00005"},{"key":"bibr6-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/107110079001100108"},{"key":"bibr7-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400402"},{"key":"bibr8-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.3109\/17453679009006505"},{"key":"bibr9-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1995.21.4.206"},{"key":"bibr10-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200312"},{"key":"bibr11-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300407"},{"key":"bibr12-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-198401010-00002"},{"key":"bibr13-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30455-7"},{"key":"bibr14-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270030401"},{"key":"bibr15-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1970.03170260032007"},{"key":"bibr16-03635465030310064101","unstructured":"ScioliMW: Injuries about the ankle: Instability of the ankle and subtalar joint, in MeyersonMS (ed): Foot and Ankle Disorders. Philadelphia, WB Saunders Company, 2000, pp 1402\u20131403"},{"key":"bibr17-03635465030310064101","unstructured":"ScrantonPE: Sprains and soft tissue injuries, in PfefferGB (ed): Chronic Ankle Pain in the Athlete. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2000, pp 3\u201320"},{"key":"bibr18-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100805"},{"key":"bibr19-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198406000-00025"},{"key":"bibr20-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200404"},{"key":"bibr21-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567010-00001"},{"key":"bibr22-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1007\/s001670100228"},{"key":"bibr23-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800705"},{"key":"bibr24-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200506"},{"key":"bibr25-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31862-9"},{"key":"bibr26-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300107"},{"key":"bibr27-03635465030310064101","doi-asserted-by":"publisher","DOI":"10.1097\/00132585-200210010-00009"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465030310064101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03635465030310064101","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465030310064101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:40:25Z","timestamp":1777369225000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465030310064101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,11]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2003,11]]}},"alternative-id":["10.1177\/03635465030310064101"],"URL":"https:\/\/doi.org\/10.1177\/03635465030310064101","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,11]]}}}