Association between anterior talofibular ligament injury and ankle tendon, ligament, and joint conditions revealed by magnetic resonance imaging
Association between anterior talofibular ligament injury and ankle tendon, ligament, and joint conditions revealed by magnetic resonance imaging
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DOI：
10.21037/qims-20-5
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发表时间：
2021-01-01
影响因子：
2.8
通讯作者：
Calvo-Lobo, Cesar
中科院分区：
文献类型：
--
作者：
Casado-Hernandez, Israel;Becerro-de-Bengoa-Vallejo, Ricardo;Calvo-Lobo, Cesar
背景资料：踝关节外侧韧带复合体是踝关节外侧扭伤（LAS）时踝关节强烈内翻运动后最常损伤的韧带。在这些损伤中，前距腓韧带（ATFL）损伤是最常见的情况（存在于66-85%的此类损伤中）。本研究的目的是使用磁共振成像（MRI）来确定踝关节肌腱、韧带和关节状况与ATFL损伤之间的关系。方法：进行病例对照MRI研究，比较ATFL损伤患者踝关节肌肉、肌腱、韧带和关节状况的存在结果：25例ATFL患者中1例（4%）有跟腱病变，而25例ATFL患者中7例（28%）有跟腱病变（P=0.048）。25例ATFL损伤患者中有19例（76%）和1例（4%）有跟腓韧带损伤（P= 0.05）。结论：ATFL损伤患者的跟腓韧带和胫距关节损伤比ATFL未损伤者更严重。
Background: The lateral ankle ligament complex is the most frequently injured ligament secondary to strong ankle inversion movement during lateral ankle sprains (LAS). Among these injuries, anterior talofibular ligament (ATFL) injury is the most frequent condition (present in 66-85% of such injuries). The purpose of this research was to use magnetic resonance imaging (MRI) to determine the association between ankle tendon, ligament, and joint conditions and ATFL injuries.Methods: A case-control MRI study was carried out to compare the presence of ankle muscle, tendon, ligament, and joint conditions in patients with injured ATFLs (case group; n=25) and non-injured ATFLs (control group; n=25).Results: Achilles tendinopathy was present in 1/25 (4%) patients with injured ATFLs and 7/25 (28%) non injured ATFL subjects (P=0.048). Injured calcaneofibular ligaments (CFLs) were present in 19/25 (76%) patients with injured ATFLs and 1/25 (4%) non-injured ATFL subjects (P= 0.05).Conclusions: Patients with ATFL injuries showed a greater presence of CFL and tibiotalar joint injuries than subjects with non-injured ATFLs.