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| Calcaneofibular ligament injury: the advantage of MRI oblique coronal scan |
| Department of Radiology, the Fifth Central Hospital of Tianjin, Tianjin 300450, China |
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Abstract Objective: To investigate the value of MRI oblique coronal scan in diagnosis of the calcaneofibular ligament injury. Methods: MRI images of 95 patients with suspected CFL injury were analyzed retrospectively, the sensitivity, specificity and accuracy of the diagnosis of CFL injure were calculated by oblique coronal scan and other position scan, analysis of the difference between oblique coronal scan and other position scan, analysis of the consistency with the surgery results by P value and Kappa value. Results: The oblique coronal scan and other position scan had statistical difference, the sensitivity, specificity and accuracy of the diagnosis of CFL injure by oblique coronal scan and other position scan are: 93.1%, 97.3% and 94.7%, and the results were highly consistent with the operation. Conclusion: Oblique coronal MRI scan has greatly improved the sensitivity, specificity and accuracy of the diagnosis of CFL injury.
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Received: 01 December 2016
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[1]Pijnenburg AC, Van Dijk CN, Bossuyt PM, et al. Treatment of ruptures of the lateral ankle ligaments: a meta-analysis[J]. J Bone Joint Surg Am, 2000, 82(6): 761-773.
[2]Dubin JC, Comeau D, McClelland RI, et al. Lateral and syndesmotic ankle sprain injuries: a narrative literature review[J]. J Chiropr Med, 2011, 10(3): 204-219.
[3]於志华，范新华. 踝关节扭伤的MRI诊断[J]. 医学影像学杂志，2016，26（9）：1725-1727.
[4]任彦玲，侯建明，叶添生. 正常距腓前韧带和跟腓韧带的解剖学观察及其MRI扫描方法学的研究[J]. 临床放射学杂志，2008，27（9）：1243-1246.
[5]Freeman MA. Instability of the foot after injuries to the lateral ligament of the ankle[J]. J Bone Joint Surg Br, 1965, 47(4): 669-677.
[6]周荣立. X线表现阴性的踝关节扭伤患者骨与软组织损伤的发生情况分析[J]. 现代实用医学，2014，26（6）：675-677.
[7]毛宾尧. 踝关节不稳[J]. 中华关节外科杂志，2009，3（1）：46-48.
[8]Doherty C, Delahunt E, Caulfield B, et al. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies[J]. Sports Med, 2014, 44(1): 123-140.
[9]Park HJ, Lee SY, Chung EC, et al. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament[J]. Acta Radiol, 2014, 55(8): 961-968.
[10]Kumar V, Triantafyllopulos I, Panagopoulos A, et al. Deficiencies of MRI in the diagnosis of chronic symptomatic lateral ankle ligament injuries[J]. Foot Ankle Surg, 2007, 13(4): 171-176.
[11]Park HJ, Cha SD, Kim SS, et al. Accuracy of MRI findings in chronic lateral ankle ligament injury: comparison with surgical findings[J]. Clin Radiol, 2012, 67(4): 313-318.
[12]Boonthathip M, Chen L, Trudell D, et al. Lateral ankle ligaments: MR arthrography with anatomic correlation in cadavers[J]. Clin Imaging, 2011, 35(1): 42-48. |
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