title: Is Incisura Fibularis a Reliable Landmark for Assessing Syndesmotic Stability? A Systematic Review of Morphometric Studies.
abstract: Incisura fibularis (IF) is an important landmark in assessing syndesmotic stability radiologically postinjury. The purpose of this review was to explore the anatomy and morphometrics of this widely used anatomical landmark and to further the understanding of the same. A systematic review was conducted online using PubMed and Google Scholar, per PRISMA guidelines. Predefined eligibility criteria were applied, and the data thus compiled were analyzed. Wide variability in morphometrics and, thus, anatomy of IF were observed in the present review, which was influenced by gender. There was no side-to-side variability seen in this study. The study stresses the need to consider the anatomical and gender-based variability while assessing syndesmotic stability and further supports the recommendation of side-to-side comparison.
  
  
  METHODS
  Anatomical, Level V.
authors.affiliation: Department of Sports Medicine, Anamiivaa Clinic and Sports Medicine Centre, Coimbatore, India.
authors.forename: Akilesh
authors.initials: A
authors.lastname: Anand Prakash
mesh_terms: D059925:Anatomic Landmarks; D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: anatomy; incisura fibularis; morphometrics; radiological; syndesmotic reduction; syndesmotic stability