{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:33:09Z","timestamp":1790443989215,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lateral talar subluxation (LTS) was introduced as a measurement tool for evaluating isolated Weber B ankle fractures, with LTS\u2009&gt;4\u2009mm on gravity stress (GS) radiographs possibly indicating need for surgery. This study reviews LTS measurements in nonoperatively managed isolated Weber B fibula fractures to further investigate the validity of this previously stated cutoff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The senior authors previously reported outcomes of a novel algorithm for nonoperative management of isolated Weber B ankle fractures. Outcome scores reported include American Orthopaedic Foot &amp; Ankle Society (AOFAS) hindfoot, Olerud-Molander (OMA), Foot and Ankle Ability Measure for activities of daily living (FAAM\/ADL), and visual analog scale (VAS) scores. All patients achieved union of their fracture. LTS was measured on GS radiographs of both injured and contralateral uninjured extremities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-two patients were included with minimum 1-year follow-up. Average age was 49\u2009years (range 19-72). Mean measurements on injury GS radiographs were as follows: medial clear space (MCS) 4.45\u2009mm (SD\u2009=\u20090.93), superior clear space (SCS) 3.46\u2009mm (SD\u2009=\u20090.70), and LTS 2.33\u2009mm (SD\u2009=\u20091.57, range 0-4.7\u2009mm), with 35 (83.3%) patients having injury LTS\u2009\u22644\u2009mm. Mean measurements on contralateral (uninjured) GS radiographs were as follows: MCS 3.39\u2009mm (SD\u2009=\u20090.63), SCS 3.15\u2009mm (SD\u2009=\u20090.50), and LTS 1.30\u2009mm (SD\u2009=\u20091.28, range 0-4.8\u2009mm). There was no statistically significant difference in all outcome measures based on amount of LTS (&lt;2\u2009mm, 2-4\u2009mm, &gt;4\u2009mm).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most patients had injury LTS\u2009\u22644\u2009mm, although those with LTS\u2009&gt;4\u2009mm had excellent outcome scores. LTS measurements on normal ankles reveal a large range. LTS may be a useful adjunct in evaluating isolated Weber B ankle fractures but the 4-mm cutoff may not be entirely reliable. Further studies are required to validate LTS as a decision-making tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114231187887","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T06:10:36Z","timestamp":1689919836000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Lateral Talar Subluxation Measurements in Nonoperatively Managed Weber B Ankle Fractures"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4623-6708","authenticated-orcid":false,"given":"Laurence","family":"Ge","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul G.","family":"Talusan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Walton","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"bibr1-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720938668"},{"key":"bibr2-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.06.002"},{"key":"bibr3-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.10.005"},{"key":"bibr4-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018314"},{"key":"bibr5-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0988-2"},{"key":"bibr6-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-02925-9"},{"key":"bibr7-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.06.001"},{"key":"bibr8-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/2473011423S00007"},{"key":"bibr9-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221119162"},{"key":"bibr10-24730114231187887","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00085"},{"key":"bibr11-24730114231187887","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-18-00198"},{"key":"bibr12-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601113"},{"key":"bibr13-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2021.03.015"},{"key":"bibr14-24730114231187887","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199501000-00020"},{"key":"bibr15-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.10.006"},{"key":"bibr16-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221123794"},{"key":"bibr17-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/2473011421S00445"},{"key":"bibr18-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-008-0768-6"},{"key":"bibr19-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-018-0923-x"},{"key":"bibr20-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211001037"},{"key":"bibr21-24730114231187887","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.02.007"}],"container-title":["Foot &amp; 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