Einsatz der Sonographie in der Diagnostik der frischen fibulo-talaren Bandläsion

Jm, Friedrich; Heuchemer, Th.; Ka, Schumacher; Bargon, G

doi:10.1055/s-2008-1046846

Cited by 13 publications

(6 citation statements)

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“…Furthermore, they do not enable direct visualization of the injured ligaments, nor a reliable differentiation between the rupture of a ligament and that of the joint capsule; the latter is a common cause of false-positive arthrographic findings [3,4,12,13]. Sonography has been suggested for assessment of the ankle joint and for direct evaluation of ligament morphology; however, references are sparse and its role still remains limited [14,15].…”

Section: Discussionmentioning

confidence: 99%

Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging

et al. 1999

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The aim of this study was to evaluate the ability of MRI to display injuries of the lateral collateral ligamentous complex in patients with an acute ankle distorsion trauma. The MR examinations of 36 patients with ankle pain after ankle distorsion were evaluated retrospectively without knowledge of clinical history, outcome and/or operative findings. The examinations were performed on a 1. 5-T whole-body imager using a flexible surface coil. The signs for ligamentous abnormality were as follows: complete or partial discontinuity, increased signal within, and irregularity and waviness of the ligament. The results were compared with operative findings in 18 patients with subsequent surgical repair. Eighteen patients with conservative therapy had a follow-up MR examination after 3 months. There was 1 sprain, 3 partial and 32 complete tears of the anterior talofibular ligament, and 5 sprains, 5 partial, and 7 complete tears of the calcaneofibular ligament. There were no lesions of the posterior talofibular ligament. Compared with surgery, MRI demonstrated in 18 of 18 cases the exact extent of anterior talofibular ligament injuries and underestimated the extent in 2 of 8 cases of calcaneofibular ligament injury. In patients with follow-up MRI after conservative therapy, a thickened band-like structure was found along the course of the injured ligament in 17 of 18 cases. The absence of ligament repair after conservative treatment was confirmed during operative revision in one case. The MRI technique allows for grading of the extent of injury of the lateral collateral ligamentous complex after acute ankle strain. It seems to be suitable for monitoring the healing process after conservative-functional treatment of ligament tears.

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Section: Discussionmentioning

confidence: 99%

Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging

et al. 1999

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“…In previous investigations of the ankle joint, the lateral collateral ligaments and the anterior tibiofibular ligament could not be visualized directly with sufficient clarity by 7.5 MHz ultrasound-probes (Friedrich et al 1990, Striepling et al 1991. This is attributable to an inadequate axial resolution of about 0.4 mm in relation to the 1 or 2 mm thickness of the ligament.…”

Section: Discussionmentioning

confidence: 99%

Lateral ankle ligaments and tibiofibular syndesmosis: 13-MHz high-frequency sonography and MRI compared in 20 patients

Milz¹,

Milz²,

Steinborn³

et al. 1998

Acta Orthopaedica Scandinavica

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“…Im Gegensatz hierzu ist die Sonografie eine kostengünstige, schnelle und flächenweit verfügbare Untersuchungsmethode. In Studien wurde die Eignung der Sonografie bei der Diagnostik von akuten Verletzungen des lateralen Bandapparats des Sprunggelenks bereits bestätigt [21,23]. Jedoch ist die Sonografie eine dynamische Untersuchungsmethode, die praktische Expertise verlangt [10] Lig.…”

Section: Diagnostik Von Teilrupturenunclassified

“…Eine Kontinuitätsunterbrechung des Bandes (l " Abb. 2 c und 3 c) und ein periligamentäres Hämatom mit teilweiser oder vollständiger Verdeckung des Bandes waren hingegen Rupturkriterien[10,23]. Niederlande) wurden über dem Sprunggelenk angelegt.…”

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Vergleich der Sonografie und der Magnetresonanztomografie zur Diagnostik von Rupturen des Lig. deltoideum – gibt es einen Unterschied?

et al. 2015

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US is a reliable procedure for detection of clinically relevant ruptures and uninjured components of the deltoid ligament after distal fibula fractures. However US is not suitable to reliably identify partial ruptures. The treatment decision for operation or conservative treatment of ankle fractures is based on the stability of the ankle. Patients with lateral malleolar fractures and intact medial malleolus but rupture of the deltoid ligament often show a spontaneous reduction of the talus in X-ray images and may therefore be falsely classified as stable (unrecognised medial instability). However, unstable malleolar fractures should be treated with open reduction and internal fixation in order to improve outcome. Hence US is able to influence therapeutic decisions by detecting medial ankle instability, which cannot be detected clinically or radiologically.

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Einsatz der Sonographie in der Diagnostik der frischen fibulo-talaren Bandläsion

Cited by 13 publications

References 0 publications

Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging

Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging

Lateral ankle ligaments and tibiofibular syndesmosis: 13-MHz high-frequency sonography and MRI compared in 20 patients

Vergleich der Sonografie und der Magnetresonanztomografie zur Diagnostik von Rupturen des Lig. deltoideum – gibt es einen Unterschied?

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