ArticleBMC musculoskeletal disorders2025
Age- and gender-specific magnetic resonance imaging findings in paediatric ankle trauma with negative radiographs.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Within-session repeatability and maturation-related differences in ultrasonographic assessment of the anterior tibiofibular gap in young athletes.Journal of medical ultrasonics (2001) · 2026Article
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5 authors.
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Abstract
backgroundThe objective of this study is to investigate the age- and gender-specific frequencies of different pathologies after ankle trauma with negative radiographs in children and adolescents.
methodsWe retrospectively analysed the MRIs of 100 patients ≤ 18 years within 30 days after acute primary ankle trauma with negative radiographs. Patients were classified into three age groups: 0–11 years, 12–15 years, and 16–18 years.
resultsMRI detected pathological findings in 96 cases (96%): Lateral collateral ligament (n = 62), deltoid ligament injury (n = 10), syndesmosis injury (n = 12), Salter-Harris Type 1 fracture of the distal fibula (n = 2), bone bruise and marrow oedema (n = 32), soft tissue oedema and hematoma (n = 13), joint effusion and hematoma (n = 8), fracture (n = 12), osteochondral lesion of the talus (n = 2). Among LCL injuries, 21 cases (33.9%) affected the ATFL alone, 34 cases (54.8%) involved both the ATFL and CFL, 2 cases (3.2%) affected only the CFL, and 5 cases (8.1%) involved all three ligaments (ATFL, CFL and PTFL).The percentages of lateral collateral ligament and syndesmotic injuries both increased significantly with age (0–11 years: 43%, 12–15 years: 57%, and 16–18 years: 78%, p = 0.019; 0–11 years: 5%, 12–15 years: 5%, and 16–18 years: 24%, p = 0.015). There were no significant differences between the genders for any of the injuries (p≥ 0.539). In 24% of cases, injuries detected by MRI resulted in a modification of the clinical management.
conclusionsThere is a high rate of injuries missed by radiographs but detected by MRI, with LCL injuries being the most common. The older the patient, the more likely it is that a syndesmotic injury will be detected with an MRI.
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