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Ultrasonography vıew for acute ankle ınjury: comparison of ultrasonography and magnetic resonance ımaging

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

We aim to asses the diagnostic performance of ankle ultrasonography in patients presenting with acute ankle sprain injury, with comparison to MRI (Manyetik Rezonans İmaging).

Materials and methods

The study included patients who applied to the hospital within 48 h after an ankle sprain, and who presented with signs of pain, swelling, and tenderness in the ankle. Ankle ultrasonography examination was performed and an ankle MRI took place the same day.

Results

30 patients were included in the study. 53.3% (n = 16) were female. The mean age was 30 ± 6.4 years. The ultrasonography examination determined 76.6% (n = 23) of the patients to have anterior talofibular ligament (ATFL) injury, 33.3% to have (n = 10) CFL injury, and 33.3% to have (n = 10) anterior inferior tibia-fibular ligament (AITFL) injury. The MRI of the patients determined 73.3% (n = 22) of the patients to have ATFL injury, 43.3% (n = 13) to have calcaneal fibular ligament (CFL) injury, and 33.3% to have (n = 10) AITFL injury. The ATFL, CFL, and AITFL injuries diagnosed on ultrasonography correlated with the MRI results (ICC = 0.875, ICC = 0.879, and ICC = 0.858). However, among the ATFL injuries observed on MRI, 26.6% (n = 8) were grade I, 26.6% (n = 8) were grade II, and 20% (n = 6) were grade III injuries. Of the ATFL injuries observed on ultrasonography, 46.6% (n = 14) were grade I, 8.6% (n = 2) were grade II, and 30.4% (n = 7) were grade III injuries.

Conclusions

Findings on all types of ATFL, CFL and AITFL appear to have a higher degree of correlation. Ultrasonography could have an added role as a triaging tool, to fast-track MRI.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Istinye University Bahçeşehir Liv Hospital, Istanbul, Turkey

    Tuğrul Ergün, Kaya Turan, Osman G. Muratoğlu & Haluk Çabuk

  2. Koç University Hospital, İstanbul, Zeytinburnu, Türkiye

    Ahmet Peker

  3. Private Doruk Yıldırım Hospital, Bursa, Turkey

    Muhsin N. Aybay

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  1. Tuğrul Ergün
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  2. Ahmet Peker
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  3. Muhsin N. Aybay
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Contributions

The authors certify that they or their institutions did not receive any support (e.g. grants, funding, payment, or other benefits) or a commitment or agreement to provide such benefits in connection with the research or preparation of this manuscript, except as disclosed on a separate attachment. Each of the authors represents that he/she has participated sufficiently in the preparation of this article, has read, and has agreed with the contents of the manuscript. Each author further warrants that the article is original, that it is not under consideration by any other journals, and that it has not been previously published. Inconsideration of the review and editing by the Skeletal Radiology of the submission, the undersigned hereby transfer, assign and otherwise convey all copyright ownership to the Skeletal Radiology, and warrant that the Skeletal Radiology owns all rights to the material submitted. This agreement takes effect if and when the work is published in the journal. The corresponding author verifies each author’s contribution at submission. TE: conception and design. AP: drafting the article or revising it critically for important intellectual content. MNA: analysis and interpretation of data, conception and design. KT: conception and design, OGM: final approval of the version to be published. HÇ: drafting the article or revising it critically for important intellectual content.

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Correspondence to Tuğrul Ergün.

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Conflict of interest

The authors declare that they have no related conflict of interest.

Ethical approval

The study was designed prospectively with the approval of the local ethics committee (Mardin State Hospital) (Date: 24/06/2021, Serial Number: 806).

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Informed consent was obtained from all individual participants included in the study.

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Ergün, T., Peker, A., Aybay, M.N. et al. Ultrasonography vıew for acute ankle ınjury: comparison of ultrasonography and magnetic resonance ımaging. Arch Orthop Trauma Surg 143, 1531–1536 (2023). https://doi.org/10.1007/s00402-022-04553-8

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  • DOI: https://doi.org/10.1007/s00402-022-04553-8

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