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. 2021 Jun 4;42(11):1491–1501. doi: 10.1177/10711007211015204

Table 1.

Normal Syndesmotic Position in Neutral Dorsiflexion and Motion From Dorsiflexion to Plantarflexion.

Position
Motion
Mean (SD) 95% CI Mean (SD) 95% CI
ASD, mm 3.3 (0.9) 3.0 to 3.6 −0.7 (0.5) −0.9 to −0.5
MSD, mm 3.4 (0.9) 3.1 to 3.7 −1.1 (0.5) −1.2 to −0.9
PSD, mm 6.1 (1.2) 5.7 to 6.5 −0.8 (0.6) −1.0 to −0.6
TFCS, mm 3.9 (0.9) 3.6 to 4.2 −1.1 (0.5) −1.3 to −0.9
TFO, mm −0.3 (1.3) −0.7 to 0.1 1.1 (0.5) 0.9 to 1.3
Sagittal translation, mm 0.5 (1.2) 0.1 to 0.9 0.1 (0.6) −0.1 to 0.3
Fibular rotation, deg 18.3 (7.0) 16.1 to 20.6 −1.2 (1.6) −1.7 to −0.7
Syndesmotic area, mm2 122 (23) 115 to130 −26 (11) −29 to −22

Abbreviations: ASD, anterior syndesmotic distance; MSD, middle, syndesmotic distance; PSD, posterior syndesmotic distance; TFCS, tibiofibular clear space; TFO, tibiofibular overlap.