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Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging

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Abstract

Objective

The purpose of this study was to clarify the efficacy of stress radiography (stress X-P), ultrasonography (US), and magnetic resonance (MR) imaging in the detection of the anterior talofibular ligament (ATFL) injury.

Methods

Thirty-four patients with ankle sprain were involved. In all patients, Stress X-P, US, MR imaging, and arthroscopy were performed. The arthroscopic results were considered to be the gold standard. The imaging results were compared with the arthroscopic results, and the accuracy calculated.

Results

Arthroscopic findings showed ATFL injury in 30 out of 34 cases. The diagnosis of ATFL injury with stress X-P, US, MR imaging were made with an accuracy of 67, 91 and 97%. US and MR imaging demonstrated the same location of the injury as arthroscopy in 63 and 93%.

Conclusion

We have clarified the diagnostic value of stress X-P, US, and MR imaging in diagnosis of ATFL injury. We obtained satisfactory results with US and MR imaging.

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Authors and Affiliations

  1. Department of Orthopaedics, Shimane University School of Medicine, 89-1, Enya-cho, Shimane, Izumo, 693-8501, Japan

    Kazunori Oae & Yuji Uchio

  2. Department of Orthopaedic Surgery, Teikyo University, 2-11-1 Kaga, Tokyo, Itabashi-ku, 173-8605, Japan

    Masato Takao

  3. Department of Orthopaedic Surgery, Hiroshima University, 1-2-3 Kasumi, Hiroshima, Minami-ku, 739-8511, Japan

    Mitsuo Ochi

Authors
  1. Kazunori Oae
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  2. Masato Takao
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  3. Yuji Uchio
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  4. Mitsuo Ochi
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Correspondence to Kazunori Oae.

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Oae, K., Takao, M., Uchio, Y. et al. Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging. Skeletal Radiol 39, 41–47 (2010). https://doi.org/10.1007/s00256-009-0767-x

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  • DOI: https://doi.org/10.1007/s00256-009-0767-x

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