Aftermath of Ankle Inversion Injuries

Meehan, Timothy; Martinez-Salazar, Edgar L; Torriani, Martin

doi:10.1016/j.mric.2016.08.012

Cited by 17 publications

(10 citation statements)

References 62 publications

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“…The extracted data include authors, publication years, demographic features of participants, study design, index tests, gold standards, and the numbers of true positive, false negative, false positive, and true negative subjects. The pathologic features of chronic injury lead to various manifestations on images [ 14 , 19 , 23 ]. We eliminated this diversity by dichotomized imaging results to “injured” and “intact” in this study for better comparability among different included studies.…”

Section: Methodsmentioning

confidence: 99%

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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: Methodsmentioning

confidence: 99%

“…Compared to acute ligament injury, the proper diagnosis of chronic ligament injury is difficult because of the uncertain association between initial inversion trauma history and ligament injury and diversified manifestation of chronic injuries on images [ 14 , 15 ]. The patients’ history and clinical tests are important in diagnosis.…”

Section: Introductionmentioning

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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“…The pathological features of acute injury refer to various manifestations on the images [27][28][29], referring to different types of injuries defined as "stretching", "rupture", "scarring" or "thickening", all of which are classified as "injured". We have eliminated this diversity by dichotomizing the results of the images as "injured" and "intact" for adequate comparability between the different studies included.…”

Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

Magnetic Resonance Accuracy in the Diagnosis of Anterior Talo-Fibular Ligament Acute Injury: A Systematic Review and Meta-Analysis

et al. 2021

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Background: The studies about injury to the anterior talo-fibular ligament (ATFL) are focused mainly on chronic symptoms and chronic instability, and the literature about the accuracy of magnetic resonance imaging (MRI) in acute injuries is quite lacking. Methods: This systematic review with meta-analysis analyzes the diagnostic accuracy of MRI on acute ATFL injury. Relative studies were retrieved after searching three databases (MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. The quality of the included articles was assessed using the revised Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Data were extracted to calculate pooled sensitivity and specificity of MRI. Results: Seven studies met our inclusion and exclusion criteria. For MRI, the pooled sensitivities and specificity in diagnosing acute ATFL injury were respectively 1.0 (95% CI: 0.58–1) and 0.9 (95% CI: 0.79–0.96). Pooled LR+ and LR− were respectively 10.4 (95% CI: 4.6–23) and 0 (95% CI: 0–0.82). Conclusion: This systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of acute ATFL injury. Our results demonstrated that MRI shows high diagnostic accuracy in the diagnosis of acute ATFL lesions. These results suggest that routine MRI in the case of suspected ATFL acute injury may be clinically useful, although this is not done in clinical practice due probably to high cost.

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“…2 Ankle sprains constitute approximately 85% of all ankle injuries, [2][3][4] and up to 90% occur in the lateral ligament complex. [1][2][3]5 A lateral ankle sprain is caused by inversion of the talus relative to the fibula 6 as a result of an external inversion moment at the ankle. This external moment is dependent on the position and trajectory of the heel and leg relative to the supporting surface 7 and will be resisted by a range of internal structures that create eversion moments, including the lateral ankle ligaments.…”

mentioning

confidence: 99%

“…Ankle injuries rank among the most frequent musculoskeletal problems affecting athletes and the general population and account for 15% to 20% of all sports injuries . Ankle sprains constitute approximately 85% of all ankle injuries, and up to 90% occur in the lateral ligament complex . A lateral ankle sprain is caused by inversion of the talus relative to the fibula as a result of an external inversion moment at the ankle.…”

mentioning

confidence: 99%

Ultrasound Characteristics of Foot and Ankle Structures in Healthy, Coper, and Chronically Unstable Ankles

Abdeen

Comfort

Starbuck

et al. 2018

J of Ultrasound Medicine

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Aftermath of Ankle Inversion Injuries

Cited by 17 publications

References 62 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

Magnetic Resonance Accuracy in the Diagnosis of Anterior Talo-Fibular Ligament Acute Injury: A Systematic Review and Meta-Analysis

Ultrasound Characteristics of Foot and Ankle Structures in Healthy, Coper, and Chronically Unstable Ankles

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