Correlation of stress radiographs to injuries associated with lateral ankle instability  

作　　者：Joshua W Sy Andrew J Lopez Gregory E Lausé J Banks Deal Michael B Lustik Paul M Ryan 

机构地区：[1]Department of Orthopaedic Surgery,Tripler Army Medical Center,Honolulu,HI 96859,United States [2]Department of Statistics,Tripler Army Medical Center,Honolulu,HI 96859,United States

出　　处：《World Journal of Orthopedics》2021年第9期710-719,共10页世界骨科杂志（英文版）

摘　　要：BACKGROUND Stress radiographs have demonstrated superior efficacy in the evaluation of ankle instability.AIM To determine if there is a degree of instability evidenced by stress radiographs that is associated with pathology concomitant with ankle ligamentous instability.METHODS A retrospective review of 87 consecutive patients aged 18-74 who had stress radiographs performed at a single institution between 2014 and 2020 was performed.These manual radiographic stress views were then correlated with magnetic resonance imaging and operative findings.RESULTS A statistically significant association was determined for the mean and median stress radiographic values and the presence of peroneal pathology(P=0.008 for tendonitis and P=0.020 for peroneal tendon tears).A significant inverse relationship was found between the presence of an osteochondral defect and increasing degrees of instability(P=0.043).CONCLUSION Although valuable in the clinical evaluation of ankle instability,stress radiographs are not an independent predictor of conditions associated with ankle in-stability.

关 键 词：Ankle stress radiographs Lateral ankle instability Osteochondral defect ARTHROSCOPY Peroneal tendinopathy 

分 类 号：R684[医药卫生—骨科学]