Many studies have investigated several reference points both in the proximal tibial and distal limb, including the tibial tuberosity, intercondylar eminence, intermalleolar
distance, second metatarsal, dorsalis pedis artery, and extensor hallucis longus.
4,6,16) Examples of structures that can be compressed and can cause the development of symptoms are: an os trigonum (17), a prominent posterolateral process of the talus (4), an enlarged posterior process of the calcaneus (7), the posterior intermalleolar
ligament (18), soft-tissue impingement (19), anomalous muscles (20), loose bodies, fractures of the ossicle or talar process, calcified inflammatory tissue, a low-lying flexor hallucis longus muscle belly and thickening of the capsule (7,8).
Prognostic assessments included functional status, disease activity, quality of life, spinal and hip mobility, fatigue, morning stiffness, finger to floor distance (cm), modified Schober (cm), chest expansion (cm), tragus to wall distance (cm), cervical rotation (degree), intermalleolar
distance (cm), and sacroiliitis grading by pelvic radiography (grade II: bilateral erosion, grade III: unilateral or bilateral sclerosis, grade IV: unilateral or bilateral ankylosis).
The transducer is placed cross-wise over the intermalleolar
The spinal and hip mobility by the Bath AS Metrology Index (BASMI) (16) includes measures for cervical rotation, tragus to wall distance, lumbar side flexion, lumbar flexion (Schober's index) and intermalleolar
distance (score range: 0-10).
ligament of the ankle: Normal anatomy and MR imaging features.
Measure the intermalleolar
distance in the knock-kneed with the recurvatum corrected and the knees lightly pressed together to qauntitate knock-knees.
The superficial fibular nerve (SFN) and its cutaneous distribution (after perforating the crural fascia) were dissected in the anterolateral region of the leg and the dorsum of the foot, observing their topographies in relation to the anterior margin of the tibia, intermalleolar
line and metatarsal bones, as well as possible communications with the deep fibular and the sural nerves, in the foot.
BASMI comprises five measurements: cervical rotation, tragus-to-wall distance, lateral flexion, modified Schober's distance, and intermalleolar
The clinical status was evaluated by Bath Ankylosing Spondylitis Metrology Index which was calculated with the measurements of wall to tragus distance, lumbar flexion, cervical rotation, lumbar lateral flexion, and intermalleolar
22) The BASMI is a composite score based on five direct measurements of spinal mobility: lateral lumbar flexion, tragus-to-wall distance, lumbar flexion, intermalleolar
distance, and cervical rotation angle.
Measurement of spinal mobility based on lateral lumbar flexion, tragus-to-wall distance, lumbar flexion, intermalleolar
distance and cervical rotation angle is a key clinical assessment of AS to monitor disease progression.