Incisura groove depth is associated with reduced rotational fibular displacement after syndesmotic injury: cadaveric validation of an automated three-dimensional incisura morphometric pipeline - Takeaways - MDSpire

Incisura groove depth is associated with reduced rotational fibular displacement after syndesmotic injury: cadaveric validation of an automated three-dimensional incisura morphometric pipeline

  • By

  • Kareem Omran

  • Cesar de Cesar Netto

  • Sara Putnam

  • Alexander Sawatzke

  • Kevin Dibbern

  • June 26, 2026

  • 0 min

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  • 1

    An automated MATLAB toolbox was developed to quantify eight three-dimensional morphometric parameters of the tibial incisura from CT data.

  • 2

    The toolbox demonstrated reproducibility and good bilateral reliability for all outputs, with ICC values exceeding 0.75.

  • 3

    Four morphometric parameters showed significant negative associations with fibular displacement magnitude following syndesmotic injury.

  • 4

    The first principal component of the morphometric data explained 85.4% of variance and was negatively associated with external rotation magnitude.

  • 5

    The study provides a methodological foundation for future clinical studies on incisura morphology and its relationship to syndesmotic injuries.

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