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. 2023 Aug 23;13:13774. doi: 10.1038/s41598-023-40599-3

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Automated measurements of the distal tibiofibular syndesmosis. Left, The Fibular Length was calculated as the distance between the center of the tibial joint line and DistFib, in the coronal plane. The Talocrural Angle was represented as an angle between the tibial articular surface line and a line connecting TibDist to FibDist. Middle, The Alpha angle represented the angle between a line connecting Chaput to Volkmann tubercle and a line connecting AntFib1 to PostFib1, in the axial plane. Right, The Anterior TibioFibular Distance (ATFD) represented the distance between the Chaput tubercle and AntFib1. Similarly, the Posterior TibioFibular Distance (PTFD) represented the 3D distance between the Volkmann tubercle and PostFib1. Created with Matlab^® (version R2020b, MathWorks, Natick, MA, USA, https://www.mathworks.com/products/matlab.html).