Tibiofemoral angle and its relation to ankle sprain occurrence.
The lack of a normal joint orientation generates translational or shear forces across the joint. These forces can put abnormally high strain on the cartilage and the surrounding capsuloligamentous tissues. Ankle joint structure can affect or be affected by bony malformations of the surrounding areas, including the knee and hip. The aim of the current study is to examine the possible relationship between the tibiofemoral (TFA) angle and other factors (anthropometric characteristics, medical history, and age) on the occurrence of ankle sprains because its value provides useful information for the anatomical alignment of the lower extremity. The study sample consisted of 45 high-level athletes, evenly distributed among 3 sports (basketball, soccer, and volleyball). TFA measurements were made on radiographs. The study lasted 2 years. A logistic regression was used to determine the importance of each factor on the probability in question. A significance level of P = .1 was used. The factors contributing more to an ankle sprain were a previous injury of the same type followed by body mass index (BMI) and age. On the contrary, TFA was proven to be statistically nonsignificant. When the BMI variable was substituted with body inertia propensity, a derived variable, the TFA remained statistically nonsignificant. TFA magnitude does not seem to be a determinant factor that could increase the probability of spraining an ankle.
Pefanis
Nikolaos
N
Laboratory of Functional Anatomy and Sports Medicine, University of Athens, Greece. npefan@phed.uoa.gr
Karagounis
Panagiotis
P
Tsiganos
Georgios
G
Armenis
Elias
E
Baltopoulos
Panagiotis
P
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000209:etiology*; D001265:Athletic Injuries / Q000209:etiology*; D001696:Biomechanical Phenomena; D015992:Body Mass Index; D006801:Humans; D007719:Knee Joint / Q000033:anatomy & histology*; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D013180:Sprains and Strains / Q000209:etiology*; D055815:Young Adult