Comparative results of conservative treatments for isolated anterior talofibular ligament (ATFL) injury and injury to both the ATFL and calcaneofibular ligament of the ankle as assessed by subtalar arthrography

Samoto, Norihiro; Sugimoto, Kazuya; Takaoka, Takanori; Fujita, Tadashi; Kitada, C.; Takakura, Yoshinori

doi:10.1007/s00776-006-1090-1

Cited by 29 publications

(30 citation statements)

References 12 publications

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“…Arthrography is indicated for staging and detecting intra-articular lesions of chronic lateral ankle instability [ 63 ]. Samoto et al reported that patients with combined injuries of the ATFL and CFL diagnosed through arthrography had worse prognosis than patients with only ATFL injury [ 64 ]. Arthrography is an invasive imaging technique.…”

Section: Discussionmentioning

confidence: 99%

Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis

Cao

Wang

et al. 2018

J Orthop Surg Res

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BackgroundVarious imaging techniques have been utilized for the diagnosis of chronic lateral ankle ligament injury. This systemic review will explore the effectiveness of different imaging techniques in diagnosing chronic lateral ankle ligament injury.MethodsRelative studies were retrieved after searching 3 databases (MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. Data were extracted to calculate pooled sensitivity and specificity of magnetic resonance imaging (MRI), ultrasonography (US), stress radiography, and arthrography.ResultsFifteen studies met our inclusion and exclusion criteria. A total of 695 participants were included. The pooled sensitivities in diagnosing chronic ATFL injury were 0.83 [0.78, 0.87] for MRI, 0.99 [0.96, 1.00] for US, and 0.81 [0.68, 0.90] for stress radiography. The pooled specificities in diagnosing chronic ATFL injury were 0.79 [0.69, 0.87] for MRI, 0.91 [0.82, 0.97] for US, and 0.92 [0.79, 0.98] for stress radiography. The pooled sensitivities in diagnosing chronic CFL injury were 0.56 [0.46, 0.66] for MRI, 0.94 [0.85, 0.98] for US, and 0.90 [0.73, 0.98] for arthrography. The pooled specificities in diagnosing chronic CFL injury were 0.88 [0.82, 0.93] for MRI, 0.91 [0.80, 0.97] for US, and 0.90 [0.77, 0.97] for arthrography.ConclusionThis systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of chronic lateral ankle ligament injury. Ultrasound manifested high diagnostic accuracy in diagnosing chronic lateral ankle ligament injury. Clinicians should be aware of the limitations of MRI in detecting chronic CFL injuries.

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Section: Discussionmentioning

confidence: 99%

Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis

Cao

Wang

et al. 2018

J Orthop Surg Res

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“…In our study of subtalar arthrography in patients with acute injuries of the calcaneofibular ligament, the accuracy of the method in making a diagnosis of calcaneofibular ligament injury was 76%, compared with 61% for inversion stress radiography and 66% for anterior drawer stress radiography [ 17 ]. Using the diagnosis accuracy offered by subtalar arthrography, the results of a conservative treatment were compared between leakage positive and leakage negative series [ 18 ]. Only 12% of the patients who showed no leakages had symptoms over a mean follow-up period of 5 years, as opposed to 70% of the patients who showed leakage.…”

Section: Acute Ankle Sprainmentioning

confidence: 99%

“…In our study, the conservative treatment consisting of a one-week immobilization followed by a functional treatment was determined to be insufficient in addressing the combined injuries of the anterior talofibular and calcaneofibular ligaments [ 18 ]. At the moment, we are not in a position to provide any evidence of suitable treatment for patients presenting combined injuries of the anterior talofibular and calcaneofibular ligaments, or for those presenting ruptures of all 3 ligaments.…”

Section: Acute Ankle Sprainmentioning

confidence: 99%

Recent Developments in the Treatment of Ankle and Subtalar Instability

Sugimoto¹,

Isomoto²,

Samoto³

et al. 2017

TOORTHJ

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It was nearly a centenary ago that severe ankle sprain was recognized as an injury of the ankle ligament(s). With the recent technological advances and tools in imaging and surgical procedures, the management of ankle sprains - including subtalar injuries - has drastically improved. The repair or reconstruction of ankle ligaments is getting more anatomical and less invasive than previously. More specifically, ligamentous reconstruction with tendon graft has been the gold standard in the management of severely damaged ligament, however, it does not reproduce the original ultrastructure of the ankle ligaments. The anatomical ligament structure of a ligament comprises a ligament with enthesis at both ends and the structure should also exhibit proprioceptive function. To date, it remains impossible to reconstruct a functionally intact and anatomical ligament. Cooperation of the regenerative medicine and surgical technology in expected to improve reconstructions of the ankle ligament, however, we need more time to develop a technology in reproducing the ideal ligament complex.

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“…Lateral ankle ligament complex is the most susceptible ligament structure to injury in ankle sport injury, especially for anterior talofibular ligament (ATFL). After ATFL injury, most patients can obtain satisfactory outcomes through conservative treatment and rehabilitation functional exercise [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve the Short-term Function of Ankle

Feng

Maffulli

Oliva

et al. 2020

Preprint

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Background Anterior talofibular ligament (ATFL) reconstruction is a valid treatment of chronic lateral ankle instability (CLAI). The purpose of this study was to evaluate the significance of preserving and not preserving remnant in ATFL reconstruction, as well as the clinical efficacy.Methods From January 2015 to July 2017, fifty-three admitted remnant-preserving CLAI patients with ATFL injury were prospectively randomized as remnant-preserving group (preservation of ATFL) and non-preserving group (no preservation of ATFL). All patients received anatomic reconstruction of ATFL using the semitendinosus tendon autograft. The Visual Analogue Scale (VAS) score, the American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), and ankle proprioceptive recovery in both groups were compared.Results All patients were followed up for at least 2 years, and difference in the follow-up time between two groups was not statistically significant. Differences in VAS, AOFAS, KAFS, ATT and ankle proprioceptive recovery between two groups were not statistically significant.Conclusions Compared with non-remnant-preserving surgery, there are no short-term follow-up differences in postoperative ankle function, stability and proprioceptive recovery when semitendinosus tendon autograft is used to treat CLAI through remnant-preserving ATFL reconstruction.Level of Evidence: Level III, a prospective comparative study.Trial registration: Xuzhou Central Hospital, ZXYY-2015090. Registered 21 November 2014

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Comparative results of conservative treatments for isolated anterior talofibular ligament (ATFL) injury and injury to both the ATFL and calcaneofibular ligament of the ankle as assessed by subtalar arthrography

Cited by 29 publications

References 12 publications

Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis

Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis

Recent Developments in the Treatment of Ankle and Subtalar Instability

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve the Short-term Function of Ankle

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