Lateral ankle ligaments and tibiofibular syndesmosis:​ 13-MHz high-frequency sonography and MRI compared in 20 patients

Milz, Petra; Milz, Stefan; Steinborn, Marc; Mittlmeier, Thomas; Putz, Reinhard; Reiser, Maximilian

Affiliations

¹Institut fur Radiologische Diagnostik, Marchioninistr. 15, D-81366, München, Germany

²Anatomische Anstalt Lehrstuhl I, Pettenkoferstr. 11, D-80336, Munchen, Germany

³Virchow Klinikum der Humbold Universität, Unfall-und Wiederherstellungschlrurgie, Augustenburger Platz 1, D-13353, Berlin, Germany

Abstract

To test the ability of ultra-high-frequency ultrasound (13 MHz scanner) to distinguish between intact and ruptured ligaments on the lateral side of the ankle, we examined 20 patients with an acute inversion injury with MRI and ultrasound. When judged by the MRI diagnosis, an injured anterior talofibular ligament was correctly diagnosed by ultrasound in 13 of 14 and an intact anterior talofibular ligament in 5 of 6 patients. in the case of the calcaneofibular ligament, 4 ruptured and 16 intact ligaments were diagnosed equally well with both methods. the injured anterior tibiofibular ligament was correctly diagnosed by ultrasound in 6 of 9 patients, while the intact ligament was correctly recognized in 10 of 11 patients.

Our findings indicate that it is possible to distinguish injured from intact ligaments sonographically.

Links

DOI: 10.3109/17453679809002357

PubMed: 16683157

WoS: 000072293200014

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Cited By (8)

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2007	Williams GN, Jones MH, Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med. July 2007;35(7):1197-1207.
2009	Mei-Dan O, Kots E, Barchilon V, Massarwe S, Nyska M, Mann G. A dynamic ultrasound examination for the diagnosis of ankle syndesmotic injury in professional athletes: a preliminary study. Am J Sports Med. May 2009;37(5):1009-1016.
2002	Clanton TO, Paul P. Syndesmosis injuries in athletes. Foot and Ankle Clinics. September 2002;7(3):529-549.
2012	Sikka RS, Fetzer GB, Sugarman E, Wright RW, Fritts H, Boyd JL, Fischer DA. Correlating MRI findings with disability in syndesmotic sprains of NFL players. Foot Ankle Int. May 2012;33(5):371-378.
2011	Wei F, Braman JE, Weaver BT, Haut RC. Determination of dynamic ankle ligament strains from a computational model driven by motion analysis based kinematic data. J Biomech. October 13, 2011;44(15):2636-2641.
2012	Hermans JJ, Ginai AZ, Wentink N, Hop WCJ, Beumer A. The additional value of an oblique image plane for MRI of the anterior and posterior distal tibiofibular syndesmosis. Skeletal Radiol. February 2012;41(2):2193-202.
2018	Knapik DM, Trem A, Sheehan J, Salata MJ, Voos JE. Conservative management for stable high ankle injuries in professional football players. Sports Health. January–February 2018;10(1):80-84.
2012	Wei F. Biomechanical Investigations and Computational Modeling of the Human Ankle [PhD thesis]. East Lansing, MI: Michigan State University; 2012.