PMID- 30992182
OWN - NLM
STAT- MEDLINE
DCOM- 20201207
LR  - 20201214
IS  - 1460-9584 (Electronic)
IS  - 1268-7731 (Linking)
VI  - 26
IP  - 3
DP  - 2020 Apr
TI  - Varus talar tilt combined with an internal rotation pivot stress assesses the 
      supination instability vector in lateral ankle ligaments' injury - cadaver study.
PG  - 258-264
LID - S1268-7731(19)30043-8 [pii]
LID - 10.1016/j.fas.2019.03.007 [doi]
AB  - BACKGROUND: The lack of consensus on the relevance of the varus talar tilt test 
      (VTTT) might be due to the divergence between the insufficiency vector of lateral 
      ankle instability and the direction of this clinical test. Our hypothesis is that 
      the VTTT is more accurate to diagnose lateral ankle ligaments rupture when it's 
      applied with a pre-positioning of the foot in internal rotation (IR). METHODS: We 
      compared, in 12 cadaver ankles, the varus opening during a classic VTTT with the 
      same test starting in an IR pivot, using a new arthrometer. RESULTS: The classic 
      VTTT caused a 13 degrees  tilt after ATFL section and 23,8 degrees  after ATFL and CFL section. 
      The application of a VTTT with an IR prepositioning caused a 21,2 degrees  tilt after 
      ATFL section (p = 0,002) and 29,5 degrees  after ATFL and CFL section (p = 0,006). 
      CONCLUSION: The VTTT is better to identify lateral ankle ligaments' insufficiency 
      when it's applied with a pre-positioning of the foot in internal rotation. The 
      resulting vector is similar to the supination trauma.
CI  - Copyright (c) 2019. Published by Elsevier Ltd.
FAU - Guerra-Pinto, Francisco
AU  - Guerra-Pinto F
AD  - Department of Orthopaedics, Hospital Dr. Jose de Almeida, Cascais, Portugal; NOVA 
      Medical School, Lisbon NOVA University, Portugal; Department of Anatomy and Human 
      Embryology, Faculty of Medicine, University of Barcelona, Spain. Electronic 
      address: fguerrapinto@gmail.com.
FAU - Corte-Real, Nuno
AU  - Corte-Real N
AD  - Director of the Department of Orthipaedics, Hospital Dr. Jose de Almeida, 
      Cascais, Portugal.
FAU - Gomes, Tiago Mota
AU  - Gomes TM
AD  - Department of Anatomy and Human Embryology, Faculty of Medicine, University of 
      Barcelona, Spain.
FAU - Consciencia, Jose Guimaraes
AU  - Consciencia JG
AD  - Vice Dean - Education NOVA Medical School, Lisbon NOVA University, Portugal; 
      Director of the Orthopedic Department at CHLO - S F Xavier Central Hospital, 
      Lisbon, Portugal.
FAU - Glazebrook, Mark
AU  - Glazebrook M
AD  - Professor of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
FAU - Oliva, Xavier Martin
AU  - Oliva XM
AD  - Department of Anatomy and Human Embryology, Faculty of Medicine, University of 
      Barcelona, Spain; Department of Orthopaedics, Clinica del Remei, Barcelona, 
      Spain.
LA  - eng
PT  - Journal Article
DEP - 20190327
PL  - France
TA  - Foot Ankle Surg
JT  - Foot and ankle surgery : official journal of the European Society of Foot and 
      Ankle Surgeons
JID - 9609647
SB  - IM
MH  - Ankle Injuries/complications/physiopathology/*surgery
MH  - Ankle Joint/physiopathology/*surgery
MH  - Cadaver
MH  - Consensus
MH  - Humans
MH  - Joint Instability/etiology/physiopathology/*surgery
MH  - Lateral Ligament, Ankle/injuries/*surgery
MH  - Rupture
MH  - Supination
MH  - Talus
OTO - NOTNLM
OT  - (MeSH terms) Ankle sprains
OT  - Ankle lateral ligament
OT  - Anterior talofibular ligament
OT  - Calcaneofibular ligament
OT  - Instability
OT  - Stress test
EDAT- 2019/04/18 06:00
MHDA- 2020/12/15 06:00
CRDT- 2019/04/18 06:00
PHST- 2018/11/10 00:00 [received]
PHST- 2019/02/22 00:00 [revised]
PHST- 2019/03/15 00:00 [accepted]
PHST- 2019/04/18 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2019/04/18 06:00 [entrez]
AID - S1268-7731(19)30043-8 [pii]
AID - 10.1016/j.fas.2019.03.007 [doi]
PST - ppublish
SO  - Foot Ankle Surg. 2020 Apr;26(3):258-264. doi: 10.1016/j.fas.2019.03.007. Epub 
      2019 Mar 27.