Ultrasound Examination for the Diagnosis of Chronic Anterior Talofibular Ligament Injury

Hua, Yinghui; Yang, Yongming; Chen, Shiyi; Cai, Yong

doi:10.1258/ar.2012.120171

Cited by 47 publications

(44 citation statements)

References 16 publications

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“…Studies that use intraoperative or arthroscopy findings as the gold standard are rare, and no differentiation has been made between complete tear and partial tear. 5,11 The aim of this prospective study was to investigate the effectiveness of ultrasonography examination in diagnosing lateral ankle ligament injury compared with surgical findings.…”

mentioning

confidence: 99%

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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mentioning

confidence: 99%

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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“…Reported sensitivities for identifying ATF injuries in patients with acute LAS using static ultrasound ranged from 94% to 100% and specificities ranged from 50% to 100%. [15][16][17][18] Cheng et al 17 observed strong sensitivity (94%) and specificity (91%) for identifying CF injury. Croy et al, 53 using a stress ultrasound assessment, demonstrated increased lateral ligament lengths during the anterior drawer and talar tilt tests on the injured side compared with the noninjured side, as well as among individuals with a history of CAI compared with healthy controls.…”

Section: Instrumented Assessment and Imaging Of Lateral Ankle Ligamentsmentioning

confidence: 99%

Evaluating and Differentiating Ankle Instability

Gribble

2019

Journal of Athletic Training

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Journal of Athletic Training a Sensitivity and specificity scores, reported as %, are represented from the published studies. Positive and negative likelihood ratios were calculated from these published scores. Diagnostic tests are grouped with bolded and lightface rows. When a sensitivity or specificity was reported as 100%, a value of 99.9% was substituted in the formula to calculate the likelihood ratios.

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“…The contralateral ankle ligaments were also examined as the control. The criteria for ligament injury included ligament tear, ligamentous laxity, ligament thickening, ligament absorption and non-union of an avulsion fracture of the lateral malleolus [15]. The MRI was performed with a Signa™ HD 1.5 T TwinSpeed MR Scanner (GE Healthcare, Milwaukee, WI, USA) using a 20-cm extremity coil, which is described in detail in our previous study [1].…”

Section: Mechanical Stability Measuresmentioning

confidence: 99%

The Effect of Lateral Ankle Ligament Repair in Muscle Reaction Time in Patients with Mechanical Ankle Instability

Zheng

Zhang

et al. 2015

Int J Sports Med

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Studies have shown that functional ankle instability can result in prolonged muscle reaction time. However, the deficit in muscle reaction time in patients with mechanical ankle instability (MAI) and the effect of lateral ankle ligament repair on muscle reaction time are unclear. The purpose of this study was to identify the deficit in muscle reaction time, and to evaluate the role of lateral ligament repair in improving muscle reaction time in MAI patients. Sixteen MAI patients diagnosed with lateral ankle ligament tears by ultrasonography and magnetic resonance imaging underwent arthroscopic debridement and open lateral ankle ligament repair with a modified Broström procedure. One day before the operation, reaction times of the tibialis anterior and peroneus longus muscles were recorded following sudden inversion perturbation while walking on a custom walkway, and anterior drawer test (ADT) and American Orthopaedic Foot and Ankle Society (AOFAS) scale score were evaluated. Six months postoperatively, muscle reaction time, ADT and AOFAS scale score were reevaluated, and muscle reaction times in 15 healthy controls were also recorded. Preoperatively, the affected ankles in the MAI group had significantly delayed tibialis anterior and peroneus longus muscles reaction times compared with controls. Six months after the operation, median AOFAS scale scores were significantly greater than preoperatively, and ADT was negative in the MAI group. However, the affected ankles in the MAI group showed no difference in muscle reaction time compared with preoperative values. MAI patients had prolonged muscle reaction time. The modified Broström procedure produced satisfactory clinical outcomes in MAI patients, but did not shorten reaction times of the tibialis anterior and peroneus longus muscles.

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Ultrasound Examination for the Diagnosis of Chronic Anterior Talofibular Ligament Injury

Abstract: US examination is a reliable and accurate method to evaluate chronic ATFL injury.

Cited by 47 publications

References 16 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

Evaluating and Differentiating Ankle Instability

The Effect of Lateral Ankle Ligament Repair in Muscle Reaction Time in Patients with Mechanical Ankle Instability

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