ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Preoperative MRI is helpful but not sufficient to detect associated lesions in patients with chronic ankle instability.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis.Journal of orthopaedic surgery and research · 2018Pooled it
- Imaging Anatomy of the Ankle in Normal and Pathological States: A Clinically Focused Pictorial Review.Cureus · 2025Review
- [Arthroscopic cartilage surgery of the ankle : Chondroplasty, retrograde drilling, nano-/microfracture].Operative Orthopadie und Traumatologie · 2025Article
- [Simplified all-arthroscopic Broström technique in treatment of chronic lateral ankle instability in adolescents].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Operative management of osteochondral lesions of the talus: 2024 recommendations of the working group 'clinical tissue regeneration' of the German Society of Orthopedics and Traumatology (DGOU).EFORT open reviews · 2024Review
- Patient-Reported Outcomes Following Open Broström-Gould Procedure: Minimum 5-Year Follow-Up.Foot & ankle orthopaedics · 2024Article
- Article
- Ultrasound Imaging of Subtalar Joint Instability for Chronic Ankle Instability.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Ankle Sprains in Athletes: Current Epidemiological, Clinical and Imaging Trends.Open access journal of sports medicine · 2023Review
- Can virtual touch tissue imaging quantification be a reliable method to detect anterior talofibular ligament type I injury at the acute, subacute, and chronic stages?Quantitative imaging in medicine and surgery · 2021Article
- Clinical evaluation of manual stress testing, stress ultrasound and 3D stress MRI in chronic mechanical ankle instability.BMC musculoskeletal disorders · 2021Article
- Persistent Pain After Operative Treatment for Chronic Lateral Ankle Instability.Orthopedic research and reviews · 2021Review
- Open Brostrom for Lateral Ligament Stabilization.Current reviews in musculoskeletal medicine · 2020Review
- Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
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8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to determine the reliability and validity of preoperative magnetic resonance imaging (MRI) scans for the detection of additional pathologies in patients with chronic ankle instability (CAI) compared to arthroscopic findings.
methodsPreoperative MRI images of 30 patients were evaluated regarding articular and periarticular comorbidities and compared to intraoperative findings. The reliability of MRI was determined by calculating specificity, sensitivity, as well as positive and negative predictive values. The accuracy of the classification of cartilage lesions by Outerbridge and Berndt and Harty rating scales was determined by calculating the area under the receiver operating curve (AUC).
resultsIn total, 72 additional pathologies were found arthroscopically compared to 73 lesions gathered from MRI images. Sensitivity ranged from 89% for peroneal tendinopathy to 28% for additional ligamentous lesions. Specificity ranged from 100% for anterolateral impingement, loose bodies and peroneal tendinopathy to 38% for additional ligamentous lesions. For cartilage lesions, sensitivity was at 91% and specificity was at 55% for the Outerbridge grading scale. For the Berndt and Harty classification system, sensitivity was at 91% and specificity was at 28%. Correlation of additional pathologies ranged from weak (r
conclusionCAI is associated with a high incidence of additional pathologies. In some cases, MRI delivers insufficient results, which may lead to misinterpretation of present comorbidities. MRI is a helpful tool for preoperative evaluation, but arthroscopy remains gold standard in the diagnosis of associated lesions in patients with CAI. LEVEL OF EVIDENCE: III.
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