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The “Shetty test” in ankle injuries: validation of a novel test to rule out ankle fractures

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Ankle sprains are by far the commonest ankle injuries. The traditional clinical approach, to any ankle injury, is a clinical examination followed by radiological examination. We have developed a simple clinical test to rule out fractures in ankle injuries and thereby eliminating the necessity for radiological examination. Our test is simple, reproducible, economic, time saving and avoids potential radiation exposure risks.

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References

  1. Amendola A, Williams G, Foster D (2006) Evidence-based approach to treatment of acute traumatic syndesmosis (high ankle) sprains. Sports Med Arthrosc 14(4):232–236

    Article  PubMed  Google Scholar 

  2. Rammelt S, Schneiders W, Grass R, Rein S, Zwipp H (2011) Ligamentous injuries to the ankle joint. Z Orthop Unfall 149(5):45–67

    Article  Google Scholar 

  3. American Academy of Orthopaedic Surgeons (2012) http://orthoinfo.aaos.org/topic.cfm?topic=A00150

  4. Diehr P, Highley R, Dehkordi F, Wood R, Krueger L, Teitz C, Hermanson B (1988) Prediction of fracture in patients with acute musculoskeletal ankle trauma. Med Decis Mak 8(1):40–47

    Article  CAS  Google Scholar 

  5. Brooks SC, Potter BT, Rainey JB (1981) Inversion injuries of the ankle: clinical assessment and radiographic review. Br Med J (Clin Res Ed) 282:607–608

    Article  CAS  Google Scholar 

  6. Sujitkumar P, Hadfield JM, Yates DW (1986) Sprain or fracture? An analysis of 2000 ankle injuries. Arch Emerg Med 3(2):101–106

    Article  PubMed  CAS  Google Scholar 

  7. Berlin L (2011) Communicating the harmful effects of radiation exposure from medical imaging: malpractice considerations. Health Phys 101(5):583–588

    Article  PubMed  CAS  Google Scholar 

  8. Garrick JG (1977) The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med 5(6):241–242

    Article  PubMed  CAS  Google Scholar 

  9. Boruta PM, Bishop JO, Braly WG, Tullos HS (1990) Acute lateral ankle ligament injuries: a literature review. Foot Ankle 11(2):107–113

    Article  PubMed  CAS  Google Scholar 

  10. Daly PeterJ, Fitzgerald RobertH, Joseph Melton L, Llstrup DM (1987) Epidemiology of ankle fractures in Rochester, Minnesota. Acta Orthop Scand 58:539–544

    Article  PubMed  CAS  Google Scholar 

  11. Scheyerer MJ, Helfet DL, Wirth S, Werner CM (1987) Diagnostics in suspicion of ankle syndesmotic injury. Am J Orthop (Belle Mead NJ) 40(4):192–197

    Google Scholar 

  12. Yoshida M, Taniguchi K, Katayose M (2011) Analysis of muscle activity and ankle joint movement during the side-hop test. J Strength Cond Res 25(8):2255–2264

    Article  PubMed  Google Scholar 

  13. Guillodo Y, Varache S, Saraux A (2010) Value of ultrasonography for detecting ligament damage in athletes with chronic ankle instability compared to computed arthrotomography. Foot Ankle Spec 3(6):331–334

    Article  PubMed  Google Scholar 

  14. Breitenseher MJ (1999) Acute ankle injuries. Radiologe 39(1):16–24

    Article  PubMed  CAS  Google Scholar 

  15. Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR (1992) A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med 21(4):384–390

    Article  PubMed  CAS  Google Scholar 

  16. Leddy JJ, Smolinski RJ, Lawrence J, Snyder JL, Priore RL (1998) Prospective evaluation of the Ottawa Ankle Rules in a university sports medicine center. With a modification to increase specificity for identifying malleolar fractures. Am J Sports Med 26(2):158–165

    PubMed  CAS  Google Scholar 

  17. Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G (2003) Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ 326(7386):417

    Article  PubMed  Google Scholar 

  18. Dowling S, Spooner CH, Liang Y, Dryden DM, Friesen C, Klassen TP, Wright RB (2009) Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. Acad Emerg Med 16(4):277–287

    Article  PubMed  Google Scholar 

  19. Gravel J, Roy M, Carrière B (2010) 44–55-66-PM, a mnemonic that improves retention of the Ottawa Ankle and Foot Rules: a randomized controlled trial. Acad Emerg Med 17(8):859–864

    Article  PubMed  Google Scholar 

  20. American College of Radiology (2005) The New England journal of medicine. University of California, Cancer Center, San Francisco

    Google Scholar 

  21. Berlin L (2011) Communicating the harmful effects of radiation exposure from medical imaging: malpractice considerations. Health Phys 101(5):583–588

    Article  PubMed  CAS  Google Scholar 

  22. New Choice Health (2012) http://newchoicehealth.com/Directory/Procedure/107/Ankle%20X-Ray (Last checked 14th February, 2012)

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Acknowledgments

The authors would like to thank Dr. Amber Mittal, DePuy Fellow. Hiranandani Orthopaedic Medical Education (HOME). Dr. L.H. Hiranandani Hospital. Powai, Mumbai. India.

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The authors declare that there is no conflict of interest regarding this article.

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Correspondence to Vijay Shetty.

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Shetty, V., Wasnik, S., Hegde, C. et al. The “Shetty test” in ankle injuries: validation of a novel test to rule out ankle fractures. Eur J Orthop Surg Traumatol 23, 831–833 (2013). https://doi.org/10.1007/s00590-012-1069-x

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  • DOI: https://doi.org/10.1007/s00590-012-1069-x

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