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Comparative study of clinical and ultrasonographic evaluation of lateral collateral ligament sprains of the ankle

机译:踝关节外侧副韧带扭伤的临床和超声检查评估的比较研究

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摘要

Aim. Clinical examination is sometimes insufficient to assess the severity of lateral collateral ligament (LCL) sprain of the ankle, making it difficult to choose the most appropriate treatment. The aim of this study was to compare the assessment of clinical signs and the ultrasonographic findings in recent LCL sprain of the ankle.rnMethods. This was a retrospective cross-sectional study. Spearman's rank correlation test and multiple regression analysis were used to assess correlations between clinical signs and type of ligament injury. Fisher's linear discriminant analysis was used to determine most contributive signs in ligament tear diagnosis.rnResults. No single clinical sign was correlated with the severity of ligament injury as revealed by ultrasonography in the 34 patients analyzed. Careful assessment of all the usual clinical signs of severity seems to better guide the diagnosis of the presence or absence of ligament tearing.rnConclusion. These results confirm the lack of correlation between clinical examination and the anatomic injury in distension or partial tearing of the anterior talofibular ligament. They raise questions about the usefulness of clinical classifications and suggest a broadening of the indications for ultrasonographic exam in ambiguous situations, particularly for athletes showing few signs of severe injury, in order to ensure optimal treatment and a faster recovery.
机译:目标。临床检查有时不足以评估踝关节外侧副韧带(LCL)扭伤的严重程度,从而难以选择最合适的治疗方法。这项研究的目的是比较近期踝关节LCL扭伤的临床体征和超声检查结果。这是一项回顾性横断面研究。 Spearman秩相关检验和多元回归分析用于评估临床体征与韧带损伤类型之间的相关性。 Fisher线性判别分析用于确定韧带撕裂诊断中最重要的标志。通过超声检查分析的34例患者中,没有单一的临床体征与韧带损伤的严重程度相关。仔细评估所有常见的严重程度的临床体征似乎可以更好地指导韧带撕裂存在与否的诊断。这些结果证实了临床检查与前胫腓韧带扩张或部分撕裂的解剖损伤之间缺乏相关性。他们对临床分类的有用性提出了疑问,并建议在模棱两可的情况下扩大超声检查的适应症,特别是对于表现出严重受伤迹象的运动员,以确保最佳治疗和更快的康复。

著录项

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  • 作者单位

    Pole Reeducation-Readaptation, CHU de Dijon, 23 rue Gaffarel, BP 77908 F-21079 Dijon cedex, France;

    Physical Medicine and Rehabilitation Federation Sports Medicine Unit, CHU Salvator, Marseille, France;

    Physical Medicine and Rehabilitation Federation Sports Medicine Unit, CHU Salvator, Marseille, France;

    Radiology and Diagnostic Imaging Service CHU Timone, Marseille, France;

    Physical Medicine and Rehabilitation Federation CHU Timone, Marseille, France;

    Physical Medicine and Rehabilitation Federation Sports Medicine Unit, CHU Salvator, Marseille, France;

    Radiology and Diagnostic Imaging Service CHU Timone, Marseille, France;

    Physical Medicine and Rehabilitation Federation CHU Timone, Marseille, France;

    Physical Medicine and Rehabilitation Federation CHU Timone, Marseille, France;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    ankle injuries; injury severity score; ultrasonography;

    机译:脚踝受伤;伤害严重程度评分;超声检查;
  • 入库时间 2022-08-17 23:08:21

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