Article
Surgery
Xuping Lin, Chengquan Tu, Weihuang Lin, Weina Xie, Xiaowei Guo, Qingjun Liu
Summary: This study compared radiographic and clinical outcomes between AITFL anatomical repair and syndesmosis screw fixation in syndesmotic injuries. The results suggest that the AITFL anatomical repair technique could effectively improve ankle function and is expected to become a better fixation method.
Article
Multidisciplinary Sciences
Matthias Peiffer, Ide van den Borre, Tanguy Segers, Soheil Ashkani-Esfahani, Daniel Guss, Cesar De Cesar Netto, Christopher W. Digiovanni, Jan Victor, Emmanuel Audenaert, Arne Burssens
Summary: This study aimed to establish three-dimensional anatomical reference values of the ankle syndesmosis based on automated measurements and investigate the symmetry across all three-dimensional measurements. Neural network training and validation were performed to automate the segmentation of ankle models, and both manual and automated measurements were compared. The results showed good agreements between manual and automated measurements, and left-to-right measurements exhibited symmetry. This novel algorithm could overcome the limitations of manual two-dimensional measurements and has significant implications in clinical practice.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Chao-Ching Chiang, Chien-Fu Jeff Lin, Yun-Hsuan Tzeng, Ming-Hung Teng, Tzu-Cheng Yang
Summary: This study aimed to establish an arthroscopic quantitative assessment method for deltoid ligament (DL) injury and compare its performance with external rotation stress (ERS) and gravity stress (GS) radiography. The results showed that arthroscopic measurement had higher accuracy and excellent reliability compared to radiographic methods, and it could effectively differentiate different severities of DL injury.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Matthias Peiffer, Arne Burssens, Sophie De Mits, Thibault Heintz, Michiel Van Waeyenberge, Kris Buedts, Jan Victor, Emmanuel Audenaert
Summary: This study aimed to create a statistical shape model of the normal distal tibiofibular joint (DTFJ) with ligamentous morphometry, investigate the effect of weight-bearing on DTFJ alignment, and detect differences in syndesmotic ligament length between patients with syndesmotic ankle injuries and healthy controls. The results showed an increased tibiofibular diastasis in healthy ankles after weight-bearing and a significant difference in anterior syndesmotic ligament length between ankles with syndesmotic lesions and healthy controls.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2022)
Article
Orthopedics
Stefan Rammelt, Jan Bartonicek, Livia Kroker
Summary: This study analyzed the pathoanatomy of anterior malleolus (AM) fractures and associated ankle injuries. It found a negative correlation between the size of AM fractures and posterior malleolar fractures. AM fractures occurred more frequently in pronation-type injuries and elderly patients. CT imaging diagnosis of AM fractures can assist in surgical decision-making and planning.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Critical Care Medicine
Haojie Lu, Jianjin Zhu, Jiuzheng Deng, Yongwei Pan, Guangmin Yang, Shuai Wei, Zhe Zhao
Summary: This study establishes a standardized method for dynamically evaluating the stability of the tibiofibular joint after ankle fractures using intraoperative ultrasound stress test. It can help guide the fixation of the joint and reduce the risk of postoperative traumatic arthritis.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Medicine, General & Internal
Jaeyoung Kim, Minsoo Kwon, Jonathan Day, Jesse Seilern und Aspang, Jaehoon Shim, Jaeho Cho
Summary: This study evaluated the radiographic and clinical outcomes after removal of SB for syndesmosis fixation. Results showed that removal of SB led to improved clinical symptoms without negatively impacting the quality of syndesmosis reduction.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
SeongJu Choi, Youngrak Choi, Eugene Baek, Seongmin Jo
Summary: This study retrospectively evaluated 34 cases of deltoid ligament ruptures with associated supination external rotation type IV ankle fractures. The results showed no significant difference in radiographic and clinical outcomes between the deltoid repair and unrepair groups. Syndesmotic reduction may be more important than deltoid repair in regard to mortise restoration and medial stability.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Orthopedics
Lei Huang, XiaoHong Zhang, Siyi Yang, Jiwen Qing, Wangyu Wu, Houyin Shi, Dingxuan Wang, Lei Zhang
Summary: This retrospective study examined 147 patients with ankle osteoarthritis and analyzed the association between distal tibiofibular syndesmosis morphological classification and ankle osteoarthritis. The study found that different classifications of distal tibiofibular syndesmosis could affect the biomechanical properties in ankle osteoarthritis.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Kousuke Shiwaku, Atsushi Teramoto, Kousuke Iba, Hidenori Otsubo, Tomoaki Kamiya, Hiroaki Shoji, Kota Watanabe, Toshihiko Yamashita
Summary: The study investigated the prevalence of transverse ligament and posterior inferior tibiofibular ligament injuries in syndesmosis-injured ankles using oblique axial magnetic resonance imaging, with results showing rates of 76.5% and 41.2%, respectively. The prevalence of posterior inferior tibiofibular ligament injuries was lower than that of transverse ligament injuries.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Critical Care Medicine
Keith G. Whitlock, Micaela LaRose, Helena Barber, Amanda Fletcher, Daniel Cunningham, Luke Menken, Richard S. Yoon, Mark J. Gage
Summary: This study compared different treatment methods for isolated unstable distal fibula fractures, finding that direct deltoid ligament repair yields similar functional scores and fewer reoperations compared to trans-syndesmotic fixation at midterm follow up. The most common reason for reoperation was the removal of hardware.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Review
Orthopedics
Shengxuan Cao, Chen Wang, Yungu Chen, Chao Zhang, Jiazhang Huang, Xin Ma, Xu Wang
Summary: This study evaluated the diagnostic accuracy of various stress tests for deltoid ligament and syndesmosis injury in ankle fracture patients. The gravity stress test and the tap test showed high sensitivity and specificity in diagnosing deltoid ligament injury, while the hook test had relatively high accuracy in diagnosing syndesmosis injury.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Orthopedics
Shouqi Sun, Chao Chen, Zhuoqi Sheng, Min Wei
Summary: The purpose of this study was to analyze the accuracy of MRI in diagnosing distal tibiofibular syndesmosis instability (DTSI) and establish new diagnostic parameters. A retrospective study evaluated 212 patients with ankle sprains and 3 T MRI, who were later diagnosed with DTSI through ankle arthroscopic surgery. The height measurement method of the quantitative index DTJE was found to be a simpler and more specific indicator for DTSI, with a cutoff value of 8.00 mm.
SKELETAL RADIOLOGY
(2023)
Article
Orthopedics
Go Sato, Jirawat Saengsin, Rohan Bhimani, Noortje Hagemeijer, Bart Lubberts, Elaheh Ziaei Ziabari, Christopher DiGiovanni, Daniel Guss
Summary: The study found that lateral ankle ligament injuries do not directly affect the stability of the syndesmosis. However, when combined with injuries to the interosseous ligament (IOL), even partial injuries can cause syndesmotic laxity. This has important clinical implications for accurate diagnosis and determining the treatment approach for concurrent syndesmotic and lateral ligament injuries.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Emergency Medicine
Qinliang Lei, Pinhua Chen, Xueyi He, Zhixian Xu, Wubing He
Summary: This study aimed to identify and evaluate the optimal preoperative CT parameters for predicting tibiofibular syndesmosis injuries associated with ankle fractures. The study found that maximum tibiofibular distance and area were the best predictive parameters, and a larger area was associated with a higher likelihood of instability of the tibiofibular syndesmosis after ankle fracture fixation.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Gastroenterology & Hepatology
Stefan A. Bouwense, Sandra van Brunschot, Hjalmar C. van Santvoort, Marc G. Besselink, Thomas L. Bollen, Olaf J. Bakker, Peter A. Banks, Marja A. Boermeester, Vincent C. Cappendijk, Ross Carter, Richard Charnley, Casper H. van Eyck, Patrick C. Freeny, John J. Hermans, David M. Hough, Colin D. Johnson, Johan S. Lameris, Markus M. Lerch, Julia Mayerle, Koenraad J. Mortele, Michael G. Sarr, Brian Stedman, Santhi Swaroop Vege, Jens Werner, Marcel G. Dijkgraaf, Hein G. Gooszen, Karen D. Horvath
Article
Gastroenterology & Hepatology
Aura A. J. van Esch, Joost P. H. Drenth, John J. Hermans
Review
Gastroenterology & Hepatology
Xavier J. N. M. Smeets, Geke Litjens, Kim Gijsbers, Mathias Prokop, Joost P. H. Drenth, John Hermans, Erwin J. M. van Geenen
Review
Radiology, Nuclear Medicine & Medical Imaging
E. A. J. de Savornin Lohman, T. J. J. de Bitter, C. J. H. M. van Laarhoven, J. J. Hermans, R. J. de Haas, P. R. de Reuver
EUROPEAN JOURNAL OF RADIOLOGY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
D. M. Riviere, E. J. M. van Geenen, B. M. van der Kolk, I. D. Nagtegaal, S. A. Radema, C. J. H. M. van Laarhoven, J. J. Hermans
ABDOMINAL RADIOLOGY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Esther M. M. Smeets, Dominique S. Withaar, Willem Grootjans, John J. Hermans, Kees van Laarhoven, Lioe-Fee de Geus-Oei, Martin Gotthardt, Erik H. J. G. Aarntzen
Review
Oncology
L. A. Daamen, V. P. Groot, M. P. W. Intven, M. G. Besselink, O. R. Busch, B. Groot Koerkamp, N. Haj Mohammad, J. J. Hermans, H. W. M. van Laarhoven, J. J. Nuyttens, J. W. Wilmink, H. C. van Santvoort, I. Q. Molenaar, M. W. J. Stommel
Article
Surgery
Joost Huiskens, Karen Bolhuis, Marc R. W. Engelbrecht, Koert P. De Jong, Geert Kazemier, Mike S. L. Liem, Cornelis Verhoef, Johannes H. W. de Wilt, Cornelis J. A. Punt, Thomas M. van Gulik, M. J. Van Amerongen, Cornelis H. C. Dejong, Michael F. Gerhards, Dirk Grunhagen, Linda Heijmen, John J. Hermans, Astrid Keijser, Joost M. Klaase, Krijn P. Van Lienden, Quintus Molenaar, Gijs A. Patijn, Arjen M. Rijken, Theo M. Ruers, Rutger-Jan Swijnenbur, Harm van Tinteren
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2019)
Article
Engineering, Biomedical
T. G. W. Boers, Y. Hu, E. Gibson, D. C. Barratt, E. Bonmati, J. Krdzalic, F. van der Heijden, J. J. Hermans, H. J. Huisman
PHYSICS IN MEDICINE AND BIOLOGY
(2020)
Article
Oncology
G. Litjens, D. M. Riviere, E. J. M. van Geenen, S. A. Radema, L. A. A. Brosens, M. Prokop, C. J. H. M. van Laarhoven, J. J. Hermans
Review
Oncology
Megan Schuurmans, Natalia Alves, Pierpaolo Vendittelli, Henkjan Huisman, John Hermans
Summary: Pancreatic ductal adenocarcinoma (PDAC) is a deadly cancer with a high mortality rate. Research on image-based AI for PDAC is scattered and lacks sufficient quality, hindering its incorporation into clinical workflows. Future efforts should focus on building well-curated datasets, utilizing state-of-the-art AI techniques, and ensuring reliable ground truth.
Article
Medicine, General & Internal
Geke Litjens, Joris P. E. A. Broekmans, Tim Boers, Marco Caballo, Maud H. F. van den Hurk, Dilek Ozdemir, Caroline J. van Schaik, Markus H. A. Janse, Erwin J. M. van Geenen, Cees J. H. M. van Laarhoven, Mathias Prokop, Peter H. N. de With, Fons van der Sommen, John J. Hermans
Summary: This study examined tumor and vessel radiomics to predict the resectability of PDAC in chemo-naive patients. The vessel-features-only model performed best, with an AUC of 0.92 and sensitivity and specificity of 97% and 73%, respectively. Test set validation showed a sensitivity and specificity of 100% and 88%, respectively.
Article
Radiology, Nuclear Medicine & Medical Imaging
G. Litjens, C. J. H. M. van Laarhoven, M. Prokop, E. J. M. van Geenen, J. J. Hermans
Summary: This retrospective study analyzed the effectiveness of routine CECT in staging and determining resectability of duodenal adenocarcinoma. The results showed that CECT underestimates T-stage and N-stage, and M-stage is often unclear, resulting in futile surgery for some patients.
ABDOMINAL RADIOLOGY
(2022)
Article
Biochemical Research Methods
Daphne A. J. J. Driessen, Didi J. J. M. de Gouw, Rutger C. H. Stijns, Geke Litjens, Bas Israel, Bart W. J. Philips, John J. Hermans, Tim Dijkema, Bastiaan R. Klarenbeek, Rachel S. van der Post, Iris D. Nagtegaal, Adriana C. H. van Engen-van Grunsven, Lodewijk A. A. Brosens, Andor Veltien, Patrik Zamecnik, Tom W. J. Scheenen
Summary: In this study, a workflow was developed to validate ultrasmall superparamagnetic iron oxide (USPIO)-enhanced magnetic resonance imaging (MRI) with histopathology. By performing ex vivo MRI on surgical specimens and matching them with in vivo MRI images, annotated lymph nodes were compared with histopathology for analysis. The results showed the feasibility of this method in different cancer types.
METHODS AND PROTOCOLS
(2022)
Proceedings Paper
Optics
Joost van der Putten, Svitlana Zinger, Fons van der Sommen, Peter H. N. de With, Mathias Prokop, John Hermans
MEDICAL IMAGING 2018: COMPUTER-AIDED DIAGNOSIS
(2018)