Abstract:
BACKGROUND:Insufficient or excessive bony constraint surrounding the talus might contribute to the occurrence of ligamentous injury or bone contusion, respectively, at the time of ankle inversion injuries. This study aimed to investigate the relationship between radiographic lateral ankle instability and osteochondral lesions of the talus (OLT) following ankle inversion injuries. METHODS:A total of 195 patients (113 men and 83 women; mean age, 38.7 years) with a history of ankle inversion injuries were included in this study. All patients underwent ankle magnetic resonance imaging (MRI) and stress radiography. The tibiotalar tilt angle on varus stress radiograph, anterior translation of the talus on anterior-drawer lateral radiographs, bimalleolar tilt angle, and fibular position were radiographically determined. The radiographic lateral ankle instability was defined as tibiotalar tilt angle ≥10 degrees, and the presence of OLT was confirmed on MR images. The relationship between the radiographic lateral ankle instability and the presence of OLT was statistically analyzed. RESULTS:The presence of radiographic lateral ankle instability (tibiotalar tilt angle ≥10 degrees) showed an inverse relationship with that of OLT in the chi-squared test (P = .003). An increased tibiotalar tilt angle was associated with lower incidence of OLT (P = .011) in the multiple regression analysis, and the presence of OLT was associated with a decreased tibiotalar tilt angle (P = .016) in the binary logistic regression analysis. CONCLUSIONS:This study showed an inverse relationship between lateral ankle instability and the development of OLT following ankle inversion injury. The role of bony constraint in the development of sports injuries in the ankle should be considered with these injuries. LEVEL OF EVIDENCE:Level III, diagnostic, comparative study.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Park BS,Chung CY,Park MS,Sung KH,Choi Y,Park C,Koo S,Lee KMdoi
10.1177/1071100719868476subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1368-1374issue
12eissn
1071-1007issn
1944-7876journal_volume
40pub_type
杂志文章abstract:BACKGROUND:Osteoarthrosis of the second metatarsocuneiform joint presents as pain, stiffness and osteophytic thickening of the midfoot. This study sought to determine the effectiveness and outcome of surgical fusion of osteoarthritic second metatarsocuneiform (MC) joint. The association between the condition and second...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1079
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abstract::Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using two 6.5-mm crossed cancellous screws from proximal to distal w...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500604
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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