Normal and Injured Ankle Ligaments on Ultrasonography With Magnetic Resonance Imaging Correlation

Alves, Timothy; Dong, Qian; Jacobson, Jon A.; Yablon, Corrie M.; Girish, Gandikota

doi:10.1002/jum.14716

Cited by 50 publications

(29 citation statements)

References 32 publications

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“…In addition, MDC values for the SL dimensions, such as length (MDC US = 0.069 cm versus MDC Caliper = 0.083 cm), thickness (MDC US = 0 cm versus MDC Caliper = 0.021 cm) and width (MDC US = 0.013 cm versus MDC Caliper = 0 cm), showed that US measurements presented a higher absolute accuracy with lower MDC values than caliper measures for SL length and thickness dimensions, while caliper displayed greater absolute accuracy with lower MDC for SL width dimensions. According to MDC may be used as the change magnitude necessary to provide measuring confidence to be sure about these values are not the result secondary random variations or measurement errors 12 , these MDCs may be considered as cut-off reference values to determine SL dimensions modifications secondary to anatomic abnormalities 5–8 , ultrasound-guided invasive procedures 9 , and ligament injuries course after treatment 21,22 .…”

Section: Discussionmentioning

confidence: 99%

“…The present study supported an ultrasound technical study for SL dimensions evaluations compared with caliper measures as gold standard which may be used as a reference for ultrasound-guided procedures in formaldehyde-embalmed human cadavers 9 . Future studies should consider these procedures in fresh-frozen cadavers as well as in vivo with healthy subjects and SL injured patients 21,22 .…”

Section: Discussionmentioning

confidence: 99%

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Intra and Inter-rater Reliability between Ultrasound Imaging and Caliper Measures to determine Spring Ligament Dimensions in Cadavers

Santiago-Nuño

Palomo‐López

Becerro-de-Bengoa-Vallejo

et al. 2019

Sci Rep

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The purpose was to evaluate intra and inter-rater reliability, repeatability and absolute accuracy between ultrasound imaging (US) and caliper measures to determine Spring ligament (SL) dimensions in cadavers. SLs were identified from 62 human feet from formaldehyde-embalmed cadavers. Intra and inter-observer reliability, repeatability and absolute accuracy of SL width, thickness and length between US and caliper measurements were determined at intra and inter-session by intraclass correlation coefficients, Pearson´s correlation coefficients, Student t tests, standard errors of measurement, minimum detectable changes, values of normality, 95% limits of agreement, and Bland-Altman plots. Excellent inter-session and inter-rater reliability, adequate absolute accuracy, almost perfect agreement and strong correlations were shown for caliper, US and their comparison for all SL dimensions. US measurements presented higher absolute accuracy than caliper measures for SL length and thickness dimensions, while caliper displayed greater absolute accuracy for SL width dimensions. Good repeatability (P > 0.05) was shown for all SL dimensions by US, caliper and their comparison, except for SL width dimension measured with US (P = 0.019). Both US and caliper could be recommended for all SL dimensions evaluation due to their excellent reliability and absolute accuracy in cadavers, although width dimensions should be considered with caution due to US repeatability differences.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intra and Inter-rater Reliability between Ultrasound Imaging and Caliper Measures to determine Spring Ligament Dimensions in Cadavers

Santiago-Nuño

Palomo‐López

Becerro-de-Bengoa-Vallejo

et al. 2019

Sci Rep

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“…Opposed to MRI, by conducting Ultrasound for patients with acute ligament injury, not only could the edema and coarsening of ligament, abnormal signal in ligament (low signal, high signal, blood ow signal, etc. ), ligament relaxation after rupture and avulsion fracture accompanying with Ligament insertion rupture, be obviously observed, but also Ultrasound has the advantages of dynamic observation and high speci city [10].As a consequence, it can be widely used in preoperative diagnosis of acute and chronic ankle injuries. So in recent years, more and more scholars have adopted Ultrasound for the diagnosis of ankle ligament injury [11].…”

Section: The Diagnosis Of Acute Degree Injury Of Lateral Ankle Ligamementioning

confidence: 99%

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Zhu

Deng

Zhang

et al. 2020

Preprint

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Abstract Background: 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.

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“…With this background, for the evaluation of the ATFL and CFL injuries, ankle US imaging could be an option with higher priority due to its lack of radiation, and cost- and time-effectiveness (10). However, previous US evaluation studies regarding ATFL and CFL injuries have shown varied results.…”

Section: Introductionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) does not use radiation and is useful in imaging soft tissue, including ligament, tendon, and muscle, bleeding, and swelling; therefore, MRI may be used in a variety of soft tissue abnormalities, including ankle injuries. However, MRI is relatively expensive, time-consuming, and needs a fixed position to acquire images (10).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic performance of ankle ultrasound for diagnosing anterior talofibular and calcaneofibular ligament injuries: a meta-analysis

2019

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Background Ankle ultrasound imaging could be an option with higher priority due to its lack of radiation, and cost- and time-effectiveness. However, previous studies regarding anterior tibiofibular ligament and calcaneofibular ligament injuries have shown varied results. Purpose To evaluate the diagnostic performance of ankle ultrasound for anterior tibiofibular ligament and calcaneofibular ligament injuries. Material and Methods PubMed and EMBASE databases were searched for diagnostic accuracy studies that used ultrasound for diagnosing anterior tibiofibular ligament and calcaneofibular ligament injuries. Bivariate and hierarchical summary receiver operating characteristic modeling were used to evaluate diagnostic performance. Subgroup analysis was performed using studies according to severity of the injury (complete and partial anterior tibiofibular ligament tear). We performed meta-regression analyses for heterogeneity exploration. Results Ten articles involving a total of 380 patients were included. For anterior tibiofibular ligament injury, the summary sensitivity, summary specificity, and area under the hierarchical summary receiver operating characteristic curve (AUC) were 0.99, 0.92, and 0.99, respectively. For calcaneofibular ligament injury, the summary sensitivity, summary specificity, and AUC were 0.95, 0.99, and 0.95, respectively. In subgroup analysis, for complete anterior tibiofibular ligament tear, the summary sensitivity, summary specificity, and AUC were 0.96, 0.82, and 0.96, respectively. For partial anterior tibiofibular ligament tear, the summary sensitivity, summary specificity, and AUC were 0.90, 0.82, and 0.93, respectively. Among the various potential covariates, proportion of anterior tibiofibular ligament tear, ultrasound interpreter, and reference standard were associated with specificity heterogeneity. Conclusion Ankle ultrasound demonstrates high diagnostic performance in the diagnosis of anterior tibiofibular ligament and calcaneofibular ligament injuries. We recommend ultrasound performed by a musculoskeletal radiologist as a first-line diagnostic tool to diagnose anterior tibiofibular ligament and calcaneofibular ligament injuries.

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Normal and Injured Ankle Ligaments on Ultrasonography With Magnetic Resonance Imaging Correlation

Cited by 50 publications

References 32 publications

Intra and Inter-rater Reliability between Ultrasound Imaging and Caliper Measures to determine Spring Ligament Dimensions in Cadavers

Intra and Inter-rater Reliability between Ultrasound Imaging and Caliper Measures to determine Spring Ligament Dimensions in Cadavers

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Diagnostic performance of ankle ultrasound for diagnosing anterior talofibular and calcaneofibular ligament injuries: a meta-analysis

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