Diagnostic Value of Ultrasound in Ankle Sprain. 2022

Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
Assistant Professor of Orthopedic Surgery, Orthopedic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

The present study aimed to evaluate the sensitivity and specificity of clinical tests and ultrasonography in detecting ankle ligament injuries. In this cross-sectional study, 105 patients with a history of ankle sprain were included. Ankle ligaments, including syndesmosis of ankle, as well as deltoid, calcaneofibular, anterior talofibular, and posterior talofibular ligaments were evaluated by clinical tests, ultrasonography, and magnetic resonance imaging. The sensitivity and specificity of ultrasound and clinical tests were assessed in normal, sprain, partial tear, and complete tear groups. The inter-observer reliability (Cohen's Kappa score) of the evaluated techniques with magnetic resonance imaging was assessed. Anterior drawer test showed a sensitivity and specificity of 81 and 80% in the detection of anterior talofibular ligament injuries, respectively. Ultrasonography showed 100% sensitivity and specificity in distinguishing normal anterior talofibular ligament from the torn or sprained ligament with a kappa value of 1. The sensitivity of ultrasonography in detecting normal calcaneofibular ligament and deltoid ligament was 93% and 90%, respectively. Ultrasonography was highly specific in detecting calcaneofibular ligament tear but it was not sensitive in this regard. Ultrasonography was proved reliable in determining the normal anterior talofibular ligament and calcaneofibular ligament from the torn or sprained ligament. Ultrasonography is an effective complementary tool for primary evaluation of ankle injuries, which leads to early diagnosis and efficient quality of care. Clinical tests are not reliable to rule out the ankle ligaments injury and the results should be interpreted with caution.

UI MeSH Term Description Entries
D008023 Ligaments, Articular Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint. Articular Ligament,Articular Ligaments,Ligament, Articular
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000843 Ankle Joint The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS. Ankle Syndesmosis,Articulatio talocruralis,Distal Tibiofibular Joint,Inferior Tibiofibular Joint,Talocrural Joint,Tibiofibular Ankle Syndesmosis,Tibiofibular Syndesmosis,Ankle Joints,Ankle Syndesmoses,Ankle Syndesmosis, Tibiofibular,Distal Tibiofibular Joints,Inferior Tibiofibular Joints,Joint, Ankle,Joints, Ankle,Syndesmosis, Ankle,Talocrural Joints,Tibiofibular Ankle Syndesmoses,Tibiofibular Joint, Distal,Tibiofibular Syndesmoses
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face
D016512 Ankle Injuries Harm or hurt to the ankle or ankle joint usually inflicted by an external source. Ankle Sprains,Injuries, Ankle,Syndesmotic Injuries,Ankle Injury,Ankle Sprain,Injuries, Syndesmotic,Injury, Ankle,Injury, Syndesmotic,Sprain, Ankle,Sprains, Ankle,Syndesmotic Injury
D017844 Lateral Ligament, Ankle LATERAL LIGAMENTS of the ANKLE JOINT. It includes inferior tibiofibular ligaments. Ankle Lateral Ligament,Ligamentum Laterale Articulationis Talocruralis,Anterior Inferior Tibiofibular Ligament,Calcaneofibular Ligament,External Lateral Ligament,Internal Lateral Ankle Ligament,Lateral Collateral Ligament,Posterior Inferior Tibiofibular Ligament,Posterior Talofibular Ligament,Ankle Lateral Ligaments,Calcaneofibular Ligaments,Collateral Ligament, Lateral,Collateral Ligaments, Lateral,External Lateral Ligaments,Lateral Collateral Ligaments,Lateral Ligament, External,Lateral Ligaments, Ankle,Lateral Ligaments, External,Ligament, Ankle Lateral,Ligament, Calcaneofibular,Ligament, External Lateral,Ligament, Lateral Collateral,Ligament, Posterior Talofibular,Ligaments, Ankle Lateral,Ligaments, Calcaneofibular,Ligaments, External Lateral,Ligaments, Lateral Collateral,Ligaments, Posterior Talofibular,Posterior Talofibular Ligaments,Talofibular Ligament, Posterior,Talofibular Ligaments, Posterior

Related Publications

Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
October 2022, Annals of medicine and surgery (2012),
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
June 2004, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
June 2002, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
June 2005, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
December 2003, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
June 2006, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
December 2002, Clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
January 2009, Revista da Associacao Medica Brasileira (1992),
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
May 2010, BMJ clinical evidence,
Sayyed Hadi Sayyed Hosseinian, and Behzad Aminzadeh, and Amin Rezaeian, and Lida Jarahi, and Amirhossein Kasaeian Naeini, and Puria Jangjui
September 2007, BMJ clinical evidence,
Copied contents to your clipboard!