Ultrasound diagnostics of lateral ankle instability

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14510%2F17%3A00102120" target="_blank" >RIV/00216224:14510/17:00102120 - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Ultrasound diagnostics of lateral ankle instability

Original language description

Ankle injuries involving the lateral ankle ligaments are among the most common injuries of the musculoskeletal system. Ankle ligament injuries are collectively known as ankle sprains, which refer to the mechanism of the injury rather than the degree of the injury. Diagnostic accuracy of complete lateral ligaments rupture with an acute instability of the ankle joint (grade III) and ligaments laxity in adults with the chronic ankle instability is problematic. Stress ultrasonography can image the lateral talocrural joint and evaluate acute or chronic lateral ankle instability. Purpose: The aim of this study was to investigate the result of ultrasound diagnostics of lateral ankle instability in held-forced positions (anterior drawer test). Methods: 20 patients were examined after acute lateral ankle sprain (grade III) under local anesthesia. 20 patients were examined with chronic ankle instability symptoms. Diagnosis of acute ankle instability and chronic mechanical ankle instability was based on musculoskeletal ultrasound examinations. The distance between the posterior rim of the tibia and talus was measured for each ankle. To diagnose the ligament tear as being a complete tear, the difference between the injured and uninjured ankle had to be greater than 3 mm in dorsal cuts (Ernst approach to identify talocrural instability). Results: Ultrasound examinations performed under local anesthesia with ankles in held-forced positions (anterior drawer test) demonstrated that the difference between the injured and uninjured ankle was greater than 3 mm in dorsal cuts. We found no significant differences in talocrural joint laxity between acute and chronic ankle instability. Conclusion: Stress ultrasonography in acute and chronic ankle instability identified significant differences in non-stress (basic neutral position) and stress position (anterior drawer test). Incomplete healing of the ligament tissue results in post-traumatic ligament laxity, predisposing the joint to further injury. Ultrasound imaging represents an effective, non-invasive and relatively low-cost method without negative side effects, which makes the ultrasound scanner a practical tool in the clinical setting.

Czech name

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Czech description

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Type

D - Article in proceedings

CEP classification

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OECD FORD branch

30306 - Sport and fitness sciences

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Article name in the collection

Proceedings of the 11th International Conference on Kinanthropology

ISBN

9788021089174

ISSN

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e-ISSN

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Number of pages

9

Pages from-to

240-248

Publisher name

Masarykova univerzita

Place of publication

Brno

Event location

Brno, Česká republika

Event date

Nov 29, 2017

Type of event by nationality

WRD - Celosvětová akce

UT code for WoS article

000467203700025