외측 인대 손상의 자기공명영상 소견들이 수술 소견 및 신체검사와 항상 일치할까?
Are Magnetic Resonance Imaging Findings of Ankle Instability Always Correlated with Operative and Physical Examination Findings?
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초록
Physical examination and surgical findings and symptoms are often inconsistent with magnetic resonance imaging (MRI) findings when diagnosing chronic ankle lateral ligament instability, and confirmed surgical findings are used as the gold standard in most clinical studies. Anterior drawer testing is considered unreliable because normal findings are highly variable, and its accuracy ranges from 50% to 100%. Furthermore, radiographic stress imaging, such as in anterior drawer stress view, is performed under manual stress or using a stress device, and its findings also vary widely and confuse when interpreting stress views. The average accuracy of MRI findings is around 85% (range, 66%~91.7%), and thus, cannot be used as a primary indicator for surgery. For patients with suspected lateral ankle ligament instability, based on symptoms and physical examination findings, MRI may be useful for identifying lesions in ankle joints and for differentiating them from other conditions.
Abstract
Physical examination and surgical findings and symptoms are often inconsistent with magnetic resonance imaging (MRI) findings when diagnosing chronic ankle lateral ligament instability, and confirmed surgical findings are used as the gold standard in most clinical studies. Anterior drawer testing is considered unreliable because normal findings are highly variable, and its accuracy ranges from 50% to 100%. Furthermore, radiographic stress imaging, such as in anterior drawer stress view, is performed under manual stress or using a stress device, and its findings also vary widely and confuse when interpreting stress views. The average accuracy of MRI findings is around 85% (range, 66%~91.7%), and thus, cannot be used as a primary indicator for surgery. For patients with suspected lateral ankle ligament instability, based on symptoms and physical examination findings, MRI may be useful for identifying lesions in ankle joints and for differentiating them from other conditions.
참고문헌 (17)
- Phinit Phisitkul, "Accuracy of Anterolateral Drawer Test in Lateral Ankle Instability: A Cadaveric Study", Foot & Ankle International, 30(7), pp.690~695 (2009), SAGE Publications[DOI]
- Tadashi Fujii, "The manual stress test may not be sufficient to differentiate ankle ligament injuries", Clinical Biomechanics, 15(8), pp.619~623 (2000), Elsevier BV[DOI]
- Qianru Li, "Reverse anterolateral drawer test is more sensitive and accurate for diagnosing chronic anterior talofibular ligament injury", Knee Surgery, Sports Traumatology, Arthroscopy, 28(1), pp.55~62 (2020), Springer Science and Business Media LLC[DOI]
- Adam G. Miller, "Anterolateral Drawer Versus Anterior Drawer Test for Ankle Instability", Foot & Ankle International, 37(4), pp.407~410 (2016), SAGE Publications[DOI]
- Kyung Tai Lee, "New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound", Knee Surgery, Sports Traumatology, Arthroscopy, 22(7), pp.1701~1707 (2014), Springer Science and Business Media LLC[DOI]
- Karlsson J, "Lateral instability of the ankle joint", Clin Orthop Relat Res, (276), pp.253~261 (1992)
- 조병기, "정상 한국 성인에서 발목관절 외측 안정성의 방사선학적 계측", 대한족부족관절학회지, 14(1), pp.41~46 (2010), 대한족부족관절학회
- 이경태, "한국의 젊은 남성에서 족관절 안정성에 대한 부하검사시의 결과", 대한족부족관절학회지, 12(1), pp.36~40 (2008), 대한족부족관절학회
- Kyoung Min Lee, "Relationship between stress ankle radiographs and injured ligaments on MRI", Skeletal Radiology, 42(11), pp.1537~1542 (2013), Springer Science and Business Media LLC[DOI]
- Kazunori Oae, "Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging", Skeletal Radiology, 39(1), pp.41~47 (2010), Springer Science and Business Media LLC[DOI]
- Hong-Geun Jung, "Magnetic Resonance Imaging and Stress Radiography in Chronic Lateral Ankle Instability", Foot & Ankle International, 38(6), pp.621~626 (2017), SAGE Publications[DOI]
- Suraj Joshy, "Accuracy of MRI scan in the diagnosis of ligamentous and chondral pathology in the ankle", Foot and Ankle Surgery, 16(2), pp.78~80 (2010), Elsevier BV[DOI]
- Shengxuan Cao, "Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis", Journal of Orthopaedic Surgery and Research, 13(1), pp.122~ (2018), Springer Science and Business Media LLC[DOI]
- H.-J. Park, "Accuracy of MRI findings in chronic lateral ankle ligament injury: Comparison with surgical findings", Clinical Radiology, 67(4), pp.313~318 (2012), Elsevier BV[DOI]
- Desmond Wei Tan, "Accuracy of magnetic resonance imaging in diagnosing lateral ankle ligament injuries: A comparative study with surgical findings and timings of scans", Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 7, pp.15~20 (2017), Elsevier BV[DOI]
- Patrick J. O'Neill, "Is MRI Adequate to Detect Lesions in Patients with Ankle Instability?", Clinical Orthopaedics & Related Research, 468(4), pp.1115~1119 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- S. Guillo, "Consensus in chronic ankle instability: Aetiology, assessment, surgical indications and place for arthroscopy", Orthopaedics & Traumatology: Surgery & Research, 99(8 Suppl), pp.S411~S419 (2013), Elsevier BV[DOI]