Comparative Study on Accuracy of Different Diagnostic Methods of Lateral Collateral Ligament Injury of Ankle
Background: The lateral ligament complex of ankle joint consisting of the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL), and the posterior talofibular ligament (PTFL), is often injured by an ankle sprain. Improper diagnosis and treatment of lateral ligament complex injury are not only prone to recurrent sprain, pain, swelling and other symptoms, but also can lead to chronic lateral ankle instability, and osteoarthritis, which could seriously affect the joint motor function. Method and objective: This study is a prospective diagnostic test. By comparing the sensitivity and specificity of stress X-ray, B-ultrasound, Computed tomography (CT), and Magnetic resonance imaging (MRI), and analyzing the imaging manifestations and characteristics of different diagnostic methods of lateral chronic ankle instability, We aim to propose the criteria of the imaging diagnosis of lateral ankle ligament injury.
Study Type
OBSERVATIONAL
Enrollment
75
All patients suspected chronic ankle instability, will perform an anterior drawer test, stress ultrasound, computed tomography, magnetic resonance imaging of ankle. Patients with chronic ankle instability will be recommended to perform an arthroscopic repair if non-operative treatment failed.
Institute of Sports Medicine
Beijing, Beijing Municipality, China
RECRUITINGanterior talar translation and talar tilt
Assess the instability through stress X ray of the ankle
Time frame: before operation
length of ATFL and CFL in relax and stress position
Assess the instability through Ultrasound of the ankle
Time frame: before operation
Morphology of ATFL and CFL
Assess the ATFL and CFL through MRI of the ankle
Time frame: before operation
status of ATFL and CFL
evaluation of ATFL and CFL during operation
Time frame: during operation
avulsion fracture
avulsion fracture found by X ray, Ultrasound, CT or MRI
Time frame: before operation
osteophyte
osteophyte found by X ray, Ultrasound, CT or MRI
Time frame: before operation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.