Association between the inclination angle of the proximal tibiofibular joint surface and medial compartment knee osteoarthritis

Huang, Cheng; Chen, Sixu; Liu, Denghui; Lu, Zhi-Kai; Cheng, Jiwei; Li, Zhen; Chen, Yan; Zhao, Yan; Zhu, Qing; Du, Tianshu

doi:10.21037/apm-21-1348

Cited by 5 publications

(3 citation statements)

References 29 publications

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“…A horizontal PFTJ, as observed in this work in highly active hunter-gatherers (Fig. 3, Figure S1), would provide greater lateral knee stabilization through greater joint mobility in knee exion (Chang et al 2020;Huang et al 2021), but ultimately leading to lateral knee osteoarthritis (OA) ), as also attested by the higher incidence of OA in prehistoric populations compared to agriculturalists (Bridges 1989(Bridges , 1991Knusel 1996).…”

Section: ; Susman and Stern 1983mentioning

confidence: 67%

Exploring the role of fibular extremities as indicators of mobility patterns and locomotor behavior in Homo sapiens from Mid- Late Upper Paleolithic to the modern age

Pietrobelli,

Sorrentino,

Sparacello

et al. 2023

Preprint

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The human fibular shape has been scarcely analyzed in anthropology. However, studies on athletes and human archaeological samples suggest the importance of including fibular structural properties to reconstruct mobility patterns in past populations. This study analyzes human fibular variation in relation to mobility patterns, environmental conditions, subsistence economies, and shoe use to further explore the role of this bone in reconstructing mobility patterns in past populations. The sample consists of 173 individuals from archaeological and modern skeletal collections spanning the Mid-Late Upper Paleolithic to the 20th century and includes hunter-gatherers, agriculturalists, herders, and post-industrialists. Virtual three-dimensional models of left fibulae were acquired by computer tomography and surface scanning. Fibular proximal and distal epiphyseal morphologies were investigated through 3D semilandmark-based geometric morphometric methods and compared among populations and mobility categories. Our analysis reveals a trend separating groups based on their subsistence strategy and chronology. Some fibular traits (e.g., horizontal proximal tibiofibular and tilted distal talofibular articular surfaces, robust interosseous membrane, broad malleolar fossa, projecting m. biceps femoris insertion) indicate greater mobility of fibular joints and load sharing during ankle and knee excursion in foraging groups, which are presumably highly active, frequently traversing uneven terrain with absent/minimalist foot coverings. Stiffer fibular joints (e.g., obliquely oriented tibiofibular and vertical talofibular articular surfaces) are observed in sedentary populations, which may suggest a restricted ankle excursion and limited lower limb loading and use, consistent with their sedentary lifestyle in plain urban settlements with hard-shoe coverings. Other fibular traits (e.g., shorter subcutaneous triangular surface, projecting and anteriorly-facing malleolus, concave peroneal groove and proximal peroneal insertion) might indicate for mobile groups a more everted foot posture with increased moment arm in eversion, more efficient for barefoot/minimal footwear running in a forefoot-strike gait and concurring in the stabilization of the first metatarsophalangeal ray. These results further stress the functional role of fibular morphology and its importance in studies investigating past population mobility patterns.

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Section: ; Susman and Stern 1983mentioning

confidence: 67%

Exploring the role of fibular extremities as indicators of mobility patterns and locomotor behavior in Homo sapiens from Mid- Late Upper Paleolithic to the modern age

Pietrobelli,

Sorrentino,

Sparacello

et al. 2023

Preprint

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“…The results indicated that a higher weight-bearing area of the PTFJ might be a risk factor for the progression of structural changes in the medial compartment in KOA. Huang et al [19] measured the bular and tibial tilt angles of the PTFJ in patients with medial compartment KOA and in those without KOA. Logistic regression analysis showed that lower bular and tibial tilt angles of the PTFJ are associated with the risk of medial compartment KOA.…”

Section: Discussionmentioning

confidence: 99%

Radiological Study on Fibular Morphology in Knee Osteoarthritis

Fan,

Zhao,

Wang

et al. 2024

Preprint

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Background To explore the relationship between fibular morphology indicators and knee osteoarthritis (KOA) and the role of fibular morphology in the occurrence and development of KOA. Methods This retrospective study enrolled patients with KOA who sought treatment from Hospital A between January 2021 and October 2023. In total, 271 patients (447 knees), comprising 157 males and 124 females, with an average age of 60.11 ± 0.59 years (range from 18 to 86 years), were enrolled according to specific inclusion and exclusion criteria. Measurements of hip-knee-ankle (HKA),medial proximal tibial angle (MPTA),tital fibular curvature(TFC),proximal fibular curvature (PFC), distal fibular curvature (DFC),fibula tibia distance (FTD) and fibula tibia area (FTA) were taken. Intraobserver and interobserver reliabilities of all imaging measurements were assessed using intraclass correlation analysis, and the relationship between each indicator and KOA was analyzed using logistic regression. Results Patients with KOA exhibited significantly larger HKA and smaller MPTA than did those without KOA. The between-group differences of TFC,PTC,DFC,FTD and FTA were nonsignificant. Binary logistic regression analysis showed that HKA, MPTA, DFCand FTD was statistically significant. K–L grade was significantly positively correlated with HKA and significantly inversely correlated with MPTA. No significant difference in TFC,PTC,DFC,FTD and FTA was observed between patients with and without KOA. Ordinal logistic regression revealed that HKA,MPTA,DFC and FTD was statistically significant. MPTA、PFC and DFC was significantly greater in patients with valgus KOA than in patients with varus KOA. However, the between-group differences of TFC,FTD and FTA was nonsignificant. Binary logistic regression analysis showed that HKA and FTD were statistically significant. Conclusion Fibular morphology indicator FTD is a risk factor for the occurrence of KOA, the severity of KOA, and varus KOA, and DFC serves as a protective factor against the occurrence and severity of KOA.

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“…However, horizontal PTFJ in humans is also associated with a higher risk of osteoarthritis of the knee's medial tibiofemoral compartment. The lateral tibial plateau is more supported by a horizontal PTFJ resulting in a non‐uniform settlement of the whole tibial plateau, ultimately accentuating varus knee as well as further knee malalignment and provoking osteoarthritis in the medial compartment (Chang et al, 2020; Huang et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Linking the proximal tibiofibular joint to hominid locomotion: A morphometric study of extant species

Pietrobelli

Sorrentino

Benazzi

et al. 2023

American Journal of Biological Anthropology

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ObjectivesWe perform a comparative assessment of shape variation of the proximal fibula in extant humans and great apes, intending to investigate the possible link between proximal fibular shape and locomotor patterns.MethodsOur sample includes 94 fibulae of 37 Homo sapiens, 15 Gorilla, 17 Pongo, and 25 Pan. Fibular morphology was investigated through three‐dimensional (semi)landmark‐based geometric morphometric methods.ResultsWe found unique features of the human fibular head compared to that of great apes (i.e., oblique articular surface, the presence of the styloid process, specific morphology of muscle attachment sites), supporting the functional role of this bone in relation to human obligate bipedalism. Great apes also showed distinctive traits in their proximal fibula morphology, in agreement with differences in locomotor behavior.ConclusionThe morphology of the proximal fibula in extant humans and great apes is indicative of locomotor behavior, offering the potential for the comparative analysis of fossil hominin remains.

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Association between the inclination angle of the proximal tibiofibular joint surface and medial compartment knee osteoarthritis

Cited by 5 publications

References 29 publications

Exploring the role of fibular extremities as indicators of mobility patterns and locomotor behavior in Homo sapiens from Mid- Late Upper Paleolithic to the modern age

Exploring the role of fibular extremities as indicators of mobility patterns and locomotor behavior in Homo sapiens from Mid- Late Upper Paleolithic to the modern age

Radiological Study on Fibular Morphology in Knee Osteoarthritis

Linking the proximal tibiofibular joint to hominid locomotion: A morphometric study of extant species

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