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The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment.

Year 2015, Volume: 5 Issue: 2, 116 - 122, 09.03.2015
https://doi.org/10.16899/ctd.59970

Abstract

Introduction: The authors aim to determine the value of conventional magnetic resonance imaging (MRI) in diagnosis and management of lateral collateral ligament injuries around the ankle joint.

Material and Methods: MRI examinations of 50 patients with posttraumatic chronic pain around ankle joint were evaluated retrospectively. There were no oblique coronal sections this series. Ligament rupture and injury were determined according to criteria adopted in the literature. Findings were compared with MRI examinations containing oblique coronal sections of 80 patients made for any reason. All images were retrieved from the archive (PACS).

Results: There were lateral collateral ligament (LCL) injuries in 20 cases that had MRI examinations without oblique coronal sections (Series I). All isolated LCL rupture were first degree. Thirty-nine LCL injuries were detected in 80 patients that had MRI examinations containing oblique coronal sections which made for any reason (Series II). Isolated LCL rupture cases were grade one in 63%, grade two in 27% and grade three in 10% in that series. Chi-square test was performed to test for the differences between the two series in determining calcaneofibular ligament rupture.  P-value was found  0.011 and was significant at 95% confidence level.  

Conclusion: Conventional MRI protocols which include oblique coronal sections have critical importance in diagnosis and management of LCL injury.

References

  • Mesgarzadeh M, Schneck CD, Tehranzadeh J, et al. Magnetic resonance imaging of ankle ligaments: Emphasis on anatomy and injuries to lateral collateral ligaments. MRI Clinics of North America 1994; 2 (1) : 39-58.
  • Gardner M, Demetrakopoulos D, Briggs S et al. The Ability of the Lauge-Hansen classification to predict ligament injury and mechanism in ankle fractures: An MRI study. Journal of Orthopaedic Trauma. 2006; 20 (4) : 267-272
  • Perrich KD, Goodwin DW, Hecht PJ, et al. Ankle ligaments on MRI:appearance of normal and injured ligaments. American Journal of Roentgenology 2009; 193 (3) : 687-695.
  • Ip D. Orthopedic Principles- A Resident’s Guide. Berlin: Springer, 2005;300.
  • Rijke AM, Goitz HT, McCue FC, et al. Magnetic resonance imaging of injury to the lateral ankle ligaments. The American Journal of Sports Medicine 1993; 21 (4) : 528-534
  • Peterson L, Renström P. Folia Rheumotologica. Gothenburg: Novartis, 1997; 169-182.
  • Nyska M, Mann G. The Unstable Ankle. Champaign: Human Kinetics Publishers, 2002; 9.
  • Rosenberg ZS, Beltran J, Bencardino JT. MR imaging of the ankle and foot. Radiographics 2000; 20 (suppl_1 Special Issue) : 153-179.
  • Tutpınar Y, Kovanlıkaya İ. Kronik ayak bileği instabilitelerinin tanısında yeni bir yöntem: Magnetik Rezonans Artrografi [ In the diagnosis of chronic ankle instability a new method: Magnetic resonance arthrography ]. İzmir: DEÜTF, 1995; 42-43.
  • Marder RA. Current methods for the evaluation of the ankle ligament injuries. Journal of Bone and Joint Surgery 1994; 76 (7) : 1103-1111.
  • Chandnani VP, Harper MT, Ficke JR, et al. Chronic ankle stability: evaluation with MR arthrography, MR imaging and stress radiography. Radiology 1994; 192 (1) : 189-194.
  • Mizel MS, Hecht PJ, Marymont JV, et al. Evaluation and treatment of chronic ankle pain. Journal of Bone and Joint Surgery. 2004; 86 (3): 622-632.

Ayak bileği lateral kollateral ligaman patolojilerinin tanısında ve tedavinin yönlendirilmesinde konvansiyonel manyetik rezonans görüntülemenin (MRG) yeri.

Year 2015, Volume: 5 Issue: 2, 116 - 122, 09.03.2015
https://doi.org/10.16899/ctd.59970

Abstract

Amaç: Ayak bileği lateral kollateral ligaman patolojilerinin tanısında ve tedavinin yönlendirilmesinde konvansiyonel magnetik rezonans görüntülemenin (MRG) değerini belirlemek.

Gereç ve Yöntem: Ayak bileğinde travma sonrası gelişen kronik ağrı şikayetiyle oblik koronal kesitler alınmaksızın MRG incelemesi yapılan 50 olgu arşiv sisteminden (PACS) retrospektif olarak değerlendirildi.  Ligamanlardaki rüptür ve zedelenme kabul edilen kriterlere göre saptandı. Bulgular herhangi bir sebeple ayak bileği MRG yapılmış ve oblik koronal kesitler alınarak incelenmiş retrospektif değerlendirilen 80 olguluk diğer bir seri ile kıyaslandı.

Bulgular: Oblik koronal kesitler alınmaksızın inceleme yapılan birinci seride; 20 olguda lateral kollateral ligaman kompleksi (LKLK) yaralanmaları mevcuttu. Bu serideki izole LKLK rüptürlerinde sadece birinci derece rüptür saptanabildi. Oblik koronal kesitler alınarak incelenen ve herhangi bir sebeple ayak bileği MR tetkiki yapılan 80 hastada (seri 2) toplam 39 LKLK rüptürü tespit edildi. Bu serideki izole LKLK rüptürlerinde; birinci derece rüptürlerin sıklığı %63, ikinci derece rüptürlerin sıklığı %27, üçüncü derece rüptürlerin sıklığı %10 olarak tespit edildi.  Kalkaneofibular ligaman rüptürünün tespitinde iki seri arasındaki farklılığı test etmek amaçlı yapılan ki-kare testinde p değeri 0,011 bulundu.  %95 güven düzeyinde bu iki değişken arasındaki ilişki istatistiksel olarak anlamlı görüldü.

Sonuç: Oblik koronal kesitlerin alındığı Konvansiyonel MRG protokolleri lateral kollateral ligaman kompleksi rüptürlerinin tanısında ve tedavinin yönlendirilmesinde kritik öneme sahiptir.

 

References

  • Mesgarzadeh M, Schneck CD, Tehranzadeh J, et al. Magnetic resonance imaging of ankle ligaments: Emphasis on anatomy and injuries to lateral collateral ligaments. MRI Clinics of North America 1994; 2 (1) : 39-58.
  • Gardner M, Demetrakopoulos D, Briggs S et al. The Ability of the Lauge-Hansen classification to predict ligament injury and mechanism in ankle fractures: An MRI study. Journal of Orthopaedic Trauma. 2006; 20 (4) : 267-272
  • Perrich KD, Goodwin DW, Hecht PJ, et al. Ankle ligaments on MRI:appearance of normal and injured ligaments. American Journal of Roentgenology 2009; 193 (3) : 687-695.
  • Ip D. Orthopedic Principles- A Resident’s Guide. Berlin: Springer, 2005;300.
  • Rijke AM, Goitz HT, McCue FC, et al. Magnetic resonance imaging of injury to the lateral ankle ligaments. The American Journal of Sports Medicine 1993; 21 (4) : 528-534
  • Peterson L, Renström P. Folia Rheumotologica. Gothenburg: Novartis, 1997; 169-182.
  • Nyska M, Mann G. The Unstable Ankle. Champaign: Human Kinetics Publishers, 2002; 9.
  • Rosenberg ZS, Beltran J, Bencardino JT. MR imaging of the ankle and foot. Radiographics 2000; 20 (suppl_1 Special Issue) : 153-179.
  • Tutpınar Y, Kovanlıkaya İ. Kronik ayak bileği instabilitelerinin tanısında yeni bir yöntem: Magnetik Rezonans Artrografi [ In the diagnosis of chronic ankle instability a new method: Magnetic resonance arthrography ]. İzmir: DEÜTF, 1995; 42-43.
  • Marder RA. Current methods for the evaluation of the ankle ligament injuries. Journal of Bone and Joint Surgery 1994; 76 (7) : 1103-1111.
  • Chandnani VP, Harper MT, Ficke JR, et al. Chronic ankle stability: evaluation with MR arthrography, MR imaging and stress radiography. Radiology 1994; 192 (1) : 189-194.
  • Mizel MS, Hecht PJ, Marymont JV, et al. Evaluation and treatment of chronic ankle pain. Journal of Bone and Joint Surgery. 2004; 86 (3): 622-632.
There are 12 citations in total.

Details

Primary Language English
Journal Section Original Research
Authors

Mustafa Kaya

Osman Yavuz This is me

Şaziye Şanverdi Topaloğlu This is me

Fatih Çankal

Ali Köksal This is me

Publication Date March 9, 2015
Published in Issue Year 2015 Volume: 5 Issue: 2

Cite

APA Kaya, M., Yavuz, O., Şanverdi Topaloğlu, Ş., Çankal, F., et al. (2015). The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment. Çağdaş Tıp Dergisi, 5(2), 116-122. https://doi.org/10.16899/ctd.59970
AMA Kaya M, Yavuz O, Şanverdi Topaloğlu Ş, Çankal F, Köksal A. The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment. J Contemp Med. May 2015;5(2):116-122. doi:10.16899/ctd.59970
Chicago Kaya, Mustafa, Osman Yavuz, Şaziye Şanverdi Topaloğlu, Fatih Çankal, and Ali Köksal. “The Role of Magnetic Resonance Imaging in Diagnosis of Ankle Lateral Collateral Ligament Injuries and Management of the Treatment”. Çağdaş Tıp Dergisi 5, no. 2 (May 2015): 116-22. https://doi.org/10.16899/ctd.59970.
EndNote Kaya M, Yavuz O, Şanverdi Topaloğlu Ş, Çankal F, Köksal A (May 1, 2015) The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment. Çağdaş Tıp Dergisi 5 2 116–122.
IEEE M. Kaya, O. Yavuz, Ş. Şanverdi Topaloğlu, F. Çankal, and A. Köksal, “The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment”., J Contemp Med, vol. 5, no. 2, pp. 116–122, 2015, doi: 10.16899/ctd.59970.
ISNAD Kaya, Mustafa et al. “The Role of Magnetic Resonance Imaging in Diagnosis of Ankle Lateral Collateral Ligament Injuries and Management of the Treatment”. Çağdaş Tıp Dergisi 5/2 (May 2015), 116-122. https://doi.org/10.16899/ctd.59970.
JAMA Kaya M, Yavuz O, Şanverdi Topaloğlu Ş, Çankal F, Köksal A. The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment. J Contemp Med. 2015;5:116–122.
MLA Kaya, Mustafa et al. “The Role of Magnetic Resonance Imaging in Diagnosis of Ankle Lateral Collateral Ligament Injuries and Management of the Treatment”. Çağdaş Tıp Dergisi, vol. 5, no. 2, 2015, pp. 116-22, doi:10.16899/ctd.59970.
Vancouver Kaya M, Yavuz O, Şanverdi Topaloğlu Ş, Çankal F, Köksal A. The role of magnetic resonance imaging in diagnosis of ankle lateral collateral ligament injuries and management of the treatment. J Contemp Med. 2015;5(2):116-22.