ArticleEuropean radiology2021
Diagnostic value of ultrasonography in acute lateral and syndesmotic ligamentous ankle injuries.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06945939 (Correlation Between Ultrasound Findings Vs Intraoperative Findings in Syndesmotic Injury in Pott's Fracture Weber b and c), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Correlation Between Ultrasound Findings Vs Intraoperative Findings in Syndesmotic Injury in Pott's Fracture Weber b and c
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Pooled it
- Automatic Classification of Anterior Talofibular Ligament Based on 2D Convolutional Neural Network.Current medical science · 2026Article
- Ultrasound of the distal tibiofibular syndesmosis.Journal of ultrasonography · 2026Review
- Diagnostic Performance of Ultrasonography for Detection of Acute Injuries of Lateral Ankle Ligaments: A Systematic Review and Meta-analysis.Archives of academic emergency medicine · 2026Review
- Distal tibiofibular syndesmotic instability: revisiting essential concepts and clarifying advanced imaging tests.Skeletal radiology · 2026Review
- Evaluating the Effectiveness of Gravity-Assisted Ankle Stress AP Imaging in Detecting Syndesmosis Injuries: A Retrospective Clinical Study.Diagnostics (Basel, Switzerland) · 2025Article
- Role of Ultrasound in Evaluating Ligament Injuries Around the Ankle: A Narrative Review.Diagnostics (Basel, Switzerland) · 2025Review
- The calcaneofibular ligament groove at the inferior fibula, an ultrasonographic anatomical landmark.Surgical and radiologic anatomy : SRA · 2024Article
- Anatomical study of the bone morphology of the anterior talofibular ligament attachment.Anatomy & cell biology · 2023Article
- Progress in diagnosis and treatment of acute injury to the anterior talofibular ligament.World journal of clinical cases · 2023Review
- Portable dynamic ultrasonography is a useful tool for the evaluation of suspected syndesmotic instability: a cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Ultrasonography vıew for acute ankle ınjury: comparison of ultrasonography and magnetic resonance ımaging.Archives of orthopaedic and trauma surgery · 2023Article
- Ankle Sprains in Athletes: Current Epidemiological, Clinical and Imaging Trends.Open access journal of sports medicine · 2023Review
- Acute clinical evaluation for syndesmosis injury has high diagnostic value.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the diagnostic value of ultrasonography for complete discontinuity of the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL) and the anterior inferior tibiofibular ligament (AITFL).
methodsAll acute ankle injuries in adult athletes (> 18 years old) presenting to the outpatient department of a specialised Orthopaedic and Sports Medicine Hospital within 7 days post-injury were assessed for eligibility. Using ultrasonography, one musculoskeletal radiologist assessed the ATFL, CFL and AITFL for complete discontinuity. Dynamic ultrasound measurements of the tibiofibular distance (mm) in both ankles (injured and contralateral) were acquired in the neutral position (N), during maximal external rotation (Max ER), and maximal internal rotation (Max IR). MR imaging was used as a reference standard.
resultsBetween October 2017 and July 2019, 92 acute ankle injuries were included. Ultrasound diagnosed complete discontinuity of the ATFL with 87% (CI 74-95%) sensitivity and 69% (CI 53-82%) specificity. Discontinuity of the CFL was diagnosed with 29% (CI 10-56%) sensitivity and 92% (CI 83-97%) specificity. Ultrasound diagnosed discontinuity of the AITFL with 100% (CI 74-100%) sensitivity and 100% (CI 95-100%) specificity. Of the dynamic measurements, the side-to-side difference in external rotation had the highest diagnostic value for complete discontinuity of the AITFL (sensitivity 82%, specificity 86%; cut-off 0.93 mm).
conclusionsUltrasound has a good to excellent diagnostic value for complete discontinuity of the ATFL and AITFL. Therefore, ultrasound can be used to screen for injury of the ATFL and AITFL. Compared with ultrasound, dynamic ultrasound has inferior diagnostic value for complete discontinuity of the AITFL. KEY POINTS: • Ultrasound has a good to excellent diagnostic value for complete discontinuity of the anterior talofibular ligament (ATFL) and anterior inferior tibiofibular ligament (AITFL). • Ultrasound can be used to screen for injury of the ATFL and AITFL. • Compared with ultrasound, dynamic ultrasound has inferior diagnostic value for complete discontinuity of the AITFL.
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