Ultrasonographic assessment of ankle ligament injuries in post-sprained ankle pain. | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 2, April 2020, Page 68-74 PDF (213.75 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.220839 | ||||
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Authors | ||||
Ashraf M. Hassan El-Sherif1; Mohamed A. Ahmed Mohamed2; , Nadia F. Mohamed El-Ameen3; Manal F. Abu Samra3; Alkawthar E. Saied Abdel-Naby1 | ||||
1Department of Diagnostic Radiology, Faculty of medicine, El-Minia University | ||||
2Department of Orthopaedic and Traumatology, Faculty of medicine, El-Minia University | ||||
3Department of Diagnostic Radiology, Faculty of medicine, El-Minia University. | ||||
Abstract | ||||
Aim: to evaluate the diagnostic value of ultrasonography of the ankle in evaluation of ankle sprain-related ligamentous injuries. Methods: Fifty patients suffered from sprain-related ankle pain, underwent ankle ultrasonography using Xario-200 Toshiba machine with multi-frequency linear array transducer (selected frequency 12 MHz), then CT arthrography after ultrasonographic guided contrast injection. The sonographic evaluation of the ankle was targeted to lateral collateral, syndesmotic and deltoid ligaments. Results: The ultrasonography detected 38 injured ligaments in 28 cases; the most common affected ligament was ATFL(21), then the deltoid ligament(11), then CFL (6). Ultrasonography showed different positive and negative rates with subsequent different sensitivities in diagnosing ankle ligamentous tear when compared with CT arthrography as a stranded of reference method, the ATFL and DD had 100% specificity with very high accuracy 90% and 94% respectively. Beside ligamentous injury detection, ankle effusion and synovial thickening were frequently observed on ultrasonography. Conclusion: Ultrasonography is an accurate method for detection of anterior talo-fibular ligament and deep deltoid ligament tears. | ||||
Keywords | ||||
Ultrasonography; Ankle sprain; Ankle ligament tear | ||||
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