“…1 ). Twenty-four studies underwent full-text screen, and 9 studies were excluded for the following reasons: inconsistent reference standards among subjects [ 21 , 27 – 29 ], studies on other lesions associated with chronic ankle instability [ 30 – 33 ], and heterogeneous population with inadequate data for chronic injury group [ 34 ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Imaging diagnosis is usually non-invasive and can be of value when physical tests are ambiguous [ 16 ]. Results for the four including imaging diagnostic techniques have been reported; however, the diagnostic accuracy of each imaging technique is variable in different studies, partly due to different reference standards applied [ 20 , 21 ]. Our study set arthroscopic or surgical findings as the gold standard to investigate four imaging techniques.…”
Section: Discussionmentioning
confidence: 99%
“…Magnetic resonance imaging (MRI), ultrasonography (US), stress radiography, and arthrography are often utilized for diagnosing chronic lateral ankle ligament injury. Separate studies on various imaging diagnostic techniques have been reported; however, the diagnostic effectiveness of different imaging techniques was still controversial, partly due to different existing reference standards [ 20 , 21 ].…”
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.
“…1 ). Twenty-four studies underwent full-text screen, and 9 studies were excluded for the following reasons: inconsistent reference standards among subjects [ 21 , 27 – 29 ], studies on other lesions associated with chronic ankle instability [ 30 – 33 ], and heterogeneous population with inadequate data for chronic injury group [ 34 ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Imaging diagnosis is usually non-invasive and can be of value when physical tests are ambiguous [ 16 ]. Results for the four including imaging diagnostic techniques have been reported; however, the diagnostic accuracy of each imaging technique is variable in different studies, partly due to different reference standards applied [ 20 , 21 ]. Our study set arthroscopic or surgical findings as the gold standard to investigate four imaging techniques.…”
Section: Discussionmentioning
confidence: 99%
“…Magnetic resonance imaging (MRI), ultrasonography (US), stress radiography, and arthrography are often utilized for diagnosing chronic lateral ankle ligament injury. Separate studies on various imaging diagnostic techniques have been reported; however, the diagnostic effectiveness of different imaging techniques was still controversial, partly due to different existing reference standards [ 20 , 21 ].…”
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.
“…Secondly, in order to further con rm the ligament injury and decide whether there is need to repair the lateral ligament, the stress position of the patients in this study was examined by intraoperative uoroscopy after anesthesia or intraoperative xation of the fracture. And for the reason that the anterior drawer test and talus tilt test differed greatly for individual, the stress image of ankle joint on the healthy side compared with that of the lesion side should be as the judgement standard [12]. If one of the following conditions occurred, it should be judged that the lateral instability of the ankle joint existed and the lateral ligament required repairing: Inclination of talus more than 10 degrees or anterior displacement of talus more than 8 mm under stress radio-graphs; Compared to the opposite side, inclination of talus more than 5 degrees or anterior displacement of talus more than 5 mm.…”
Section: The Diagnosis Of Acute Degree Injury Of Lateral Ankle Ligamementioning
AbstractBackground: Ankle fracture is often accompanied by injuries of lateral collateral ligaments, which results in ankle instability and traumatic arthritis in the later period, causing pain and discomfort in patients. However, the repair of the lateral collateral ligament is still inconclusive. The aim of this study was to investigate the operative outcome of one-stage simultaneous repair of the foot and ankle fracture combined with the III grade injury of lateral ligament. Methods: 15 males and 8 females (mean age 37.8 [10.5] years) underwent X-ray and CT scan to determine the type of fracture. MRI, Ultrasound and intraoperative fluoroscopic stress testing were applied to confirm the ligament injury. After the operative treatment of fracture, the ruptured ligament was repaired with suture anchor in 21 cases, meanwhile 1 case combined with chronic ankle instability was repaired with modified Broström-Gould method and another case with middle ligament rupture was applied with the InternalBrace approach. Routine postoperative X-rays and physical examination were carried out, and the American Orthopaedic Food & Ankle Society score was recorded to assess the function and the pain of the wounded ankle. Results: After the operation, the range of ankle motion in all patients was improved, and the bone healing time of the patients was 6-24 (10.09±3.61) weeks. There was no chronic instability of lateral ankle or subtalar joint in all the cases. Moreover, 2 cases presented as cartilage lesions of the medial talus, and the micro-fracture surgery were performed one year later; 1 case suffered from subtalar arthritis, and underwent subtalar arthrodesis 14 months after operation. Furthermore, the patients’ last follow-up AOFAS score was (83.70±4.69) points. There was no occurrence of adverse events and complications such as neurovascular injury, infection or delayed healing of operative incision.Conclusions: One-stage simultaneous repair of the foot and ankle fracture combined with the III grade injury of lateral ligament contributes to the stability of ankle and subtalar joint, and improves the joint function of ankle. It proved to be safe and effective.
“…More recently, Kim et al 19 found stronger sensitivity (76%-84%) and specificity (83%-92%) in identifying ATF injuries using MRI. Finally, Jolman et al 22 found that MRI assessment of patients with CAI had strong sensitivity (83%) but weak specificity (53%). Thus, for CF injuries, MRI is likely to be useful for identifying true negatives while providing poor true positive identifi-cation.…”
Section: Instrumented Assessment and Imaging Of Lateral Ankle Ligamentsmentioning
Journal of Athletic Training a Sensitivity and specificity scores, reported as %, are represented from the published studies. Positive and negative likelihood ratios were calculated from these published scores. Diagnostic tests are grouped with bolded and lightface rows. When a sensitivity or specificity was reported as 100%, a value of 99.9% was substituted in the formula to calculate the likelihood ratios.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
