Twenty cadaver lower limbs were used for CT assessment of the fibular
incisure of the tibia. The length of the syndesmotic facet is shorter
in the anterior (11.20 +/- 1.90 mm) than in the posterior (14.89 +/- 2
.72 mm) (P < 0.001). The angle between anterior and posterior facets i
s 135.18 +/- 9.27 degrees. The depth of the fibular incisure of the ti
bia is 4.29 +/- 1.26 mm. The vertical distance of tibiofibular overlap
ping is 7.81 +/- 1.93 mm. The distance between anterior margin of the
tibia and anterior margin of the fibula is 17.40 +/- 3.61 mm. The dist
ance between the medial fibular border and the lateral border of the p
osterior tibia is 2.01 +/- 0.49 mm. The syndesmotic notch could be div
ided into two groups: significant concave surface and shallow concave
surface. The position of the fibula in the incisural notch may depend
on the depth of the fibular incisure of the tibia during traumatic for
ces applied on the syndesmosis. CT can display the tibial tubercles an
d clearly demonstrates the fibular incisure of the tibia and the inter
ior of the tibiofibular space.