Ligamentous Injuries around Ankle

Hariharan, Kartik; Singh, Sanjit

doi:10.5005/jp/books/12869_295

Textbook of Orthopedics and Trauma (4 Volumes) 2016

DOI: 10.5005/jp/books/12869_295

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Ligamentous Injuries around Ankle

Kartik Hariharan¹,

Sanjit Singh²

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2024

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Diagnostic value of ultrasonography for injury of anterior talofibular ligament and anterior inferior tibiofibular ligament distal fascicle in patients with ankle fractures

LYU,

LIU,

2024

J Zhejiang Univ (Med Sci)

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目的探讨超声在评估踝关节骨折患者距腓前韧带（ATFL）及下胫腓前韧带远侧束（ATiFL-DF）损伤中的应用价值。方法收集2019年4月至2023年3月在浙江大学医学院附属邵逸夫医院因踝关节骨折就诊，临床怀疑韧带损伤，术前行踝关节超声检查，并予以踝关节镜探查的患者。以踝关节镜下检查结果为诊断金标准，评估韧带损伤分级，统计分析超声诊断ATFL及ATiFL-DF损伤的敏感度、特异度、阳性预测值和阴性预测值，并行Kappa一致性检验。结果共收集病例51例。超声诊断ATFL损伤的敏感度和特异度分别为100.0%和92.3%，阳性预测值为92.6%，阴性预测值为100.0%，超声与踝关节镜检查结果一致性佳（ kappa =0.849）。超声诊断ATiFL-DF损伤的敏感度和特异度分别为86.7%和33.3%，阳性预测值为90.7%，阴性预测值为25.0%，超声与踝关节镜检查结果一致性差（ kappa =0.168）。结论超声检查是评价踝关节骨折患者ATFL损伤的可靠的检查方式，但对ATiFL-DF损伤的评估特异性较差，因此ATiFL-DF损伤超声检查阴性的踝关节骨折患者仍有必要行踝关节镜检查。

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Diagnostic value of ultrasonography for injury of anterior talofibular ligament and anterior inferior tibiofibular ligament distal fascicle in patients with ankle fractures

LYU,

LIU,

2024

J Zhejiang Univ (Med Sci)

View full text Add to dashboard Cite

show abstract

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Ligamentous Injuries around Ankle

Cited by 1 publication

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Diagnostic value of ultrasonography for injury of anterior talofibular ligament and anterior inferior tibiofibular ligament distal fascicle in patients with ankle fractures

Diagnostic value of ultrasonography for injury of anterior talofibular ligament and anterior inferior tibiofibular ligament distal fascicle in patients with ankle fractures

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