Arthrography in the Diagnosis of Ligament Injuries and Classification of Ankle Injuries

Abstract

Arthrography was assessed in 300 cases of ankle injury to determine its diagnostic information yield and its aid in classifying ankle injuries. No complications occurred as a result of the procedure. In 59 cases, information gained from the procedure was verified at surgery. Arthrography was considered to give valuable information in 85% of the cases of ligament ruptures.

Radiographic Instability of the Ankle Joint After Evans' Repair

“…The correlation of the anterior drawer sign with the degree of seriousness of the ankle injury or with the operative findings is considered to be better than talar tilt angle measurements (Lindstrand 1976, Hackenbruch et al 1979). The normal variation of the talar tilt angle is great, but together with the anterior subluxation test it is of k (Brostrom 1966, Ala-Ketola et al 1977. The reliability of standardized stress X-ray examination using the special stress frame seems to be better than that of clinical investigation or arthrography.…”

“…There are few criteria for evaluating the operative results objectively. In the diagnosis of recent ligament ruptures of the ankle joint, arthrography (Ala-Ketola et al 1977) and a stress X-ray examination (Hackenbruch et al 1979) can be used.…”