Diagnosis of ligament rupture of the ankle joint: Physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma

C. Niek Van Dijk*, Ben Willem J. Mol, Liesbeth S.L. Lim, Rene K. Marti, Patrick M.M. Bossuyt

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

136 Citations (Scopus)

Abstract

We prospectively enrolled 160 consecutive patients with inversion trauma of the ankle in a diagnostic protocol that included physical examination within 2 days and at 5 days after trauma, arthrography, stress radiography, and ultrasonography. 135 patients had pathological lateral ligament laxity on the later physical examination or lateral ligament rupture diagnosed on arthrography and they were operated on. 122 of these patients had ligament ruptures. At clinical follow-up after a minimum of half a year, all of the patients who were not operated on had stable joints without signs of previous ligament ruptures. Delayed physical examination at 5 days after the injury led to the highest overall sensitivity (96%) and specificity (84%) for the detection of a ligament rupture. Additional diagnostic procedures, at a considerable cost, yielded little additional information.

Original languageEnglish
Pages (from-to)566-570
Number of pages5
JournalActa Orthopaedica
Volume67
Issue number6
DOIs
Publication statusPublished - 1 Dec 1996

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