Sonography of ankle ligaments

Peetrons, P; Créteur, Viviane; Bacq, C

doi:10.1002/jcu.20068

Cited by 97 publications

(88 citation statements)

References 11 publications

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“…7,16,17 After sprain, the enlargement, focal defect and abnormal lengthening of a ligament should be seen on ultrasonography and as a bony fragment within ligaments, which were all detected in the present study. 18 In our study, the ability of ultrasonography to depict ATFL and CFL injuries with a sensitivity of 98.9% and 93.8%, respectively, and a specificity of 93.8% and 90.9%, respectively, was comparable to those of MRI. 19 Hua et al 11 reported a better result with an accuracy of 95.2% in detecting chronic ATFL injuries.…”

Section: Discussionsupporting

confidence: 54%

Value of ultrasonography for detecting chronic injury of the lateral ligaments of the ankle joint compared with ultrasonography findings

Cheng¹,

Cai²,

Y³

2014

BJR

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Yi Cheng and Yehua Cai both contributed equally to this article.Objective: The aim of this study was to assess the accuracy of ultrasonography in the diagnosis of chronic lateral ankle ligament injury. Methods: A total of 120 ankles in 120 patients with a clinical suspicion of chronic ankle ligament injury were examined by ultrasonography by using a 5-to 17-MHz linear array transducer before surgery. The results of ultrasonography were compared with the operative findings. Results: There were 18 sprains and 24 partial and 52 complete tears of the anterior talofibular ligament (ATFL); 26 sprains, 27 partial and 12 complete tears of the calcaneofibular ligament (CFL); and 1 complete tear of the posterior talofibular ligament (PTFL) at arthroscopy and operation. Compared with operative findings, the sensitivity, specificity and accuracy of ultrasonography were 98.9%, 96.2% and 84.2%, respectively, for injury of the ATFL and 93.8%, 90.9% and 83.3%, respectively, for injury of the CFL. The PTFL tear was identified by ultrasonography. The accuracy of identification between acute-on-chronic and subacute-chronic patients did not differ. The accuracies of diagnosing three grades of ATFL injuries were almost the same as those of diagnosing CFL injuries. Conclusion: Ultrasonography provides useful information for the evaluation of patients presenting with chronic pain after ankle sprain. Advances in knowledge: Intraoperative findings are the reference standard. We demonstrated that ultrasonography was highly sensitive and specific in detecting chronic lateral ligments injury of the ankle joint.

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Section: Discussionsupporting

confidence: 54%

Value of ultrasonography for detecting chronic injury of the lateral ligaments of the ankle joint compared with ultrasonography findings

Cheng¹,

Cai²,

Y³

2014

BJR

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“…We defined this type of sprain as a lesion. Additionally, partial tears can be detected without loss of the normal rectilinear appearance during dynamic sonography [10,11]. But we were not able to find any case of a partial rupture either by US or by MR imaging.…”

Section: Discussionmentioning

confidence: 53%

The Value of Ultrasound in Acute Ankle Injury: Comparison With MR

Margetić¹,

Salaj²,

Lubina³

2008

Eur J Trauma Emerg Surg

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“…Compared with MRI, diagnostic ultrasound is useful but less accurate and sensitive in detecting acute lateral ankle ligamentous injury. 13,16,17 Evidence Category: B 12. Arthrography and tenography are less accurate than MRI and CT, especially when performed 48 hours after lateral ligamentous injury.…”

Section: Diagnosismentioning

confidence: 99%

“…For ultrasound versus MRI, accuracy was 95% and 100%, and sensitivity was 50% and 100%, respectively. Other authors 16,17 who compared ultrasonography for acute ankle injuries with surgical findings have shown accuracy ranging from 90% to 100% for both the ATFL and CFL.…”

mentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

Kaminski

Hertel

Amendola

et al. 2013

Journal of Athletic Training

212

233

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Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes.Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short-and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented.Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available.

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Sonography of ankle ligaments

Cited by 97 publications

References 11 publications

Value of ultrasonography for detecting chronic injury of the lateral ligaments of the ankle joint compared with ultrasonography findings

Value of ultrasonography for detecting chronic injury of the lateral ligaments of the ankle joint compared with ultrasonography findings

The Value of Ultrasound in Acute Ankle Injury: Comparison With MR

National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

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