Casado-Hernández Israel, Becerro-de-Bengoa-Vallejo Ricardo, Losa-Iglesias Marta Elena, Santiago-Nuño Fernando, Mazoteras-Pardo Victoria, López-López Daniel, Rodríguez-Sanz David, Calvo-Lobo César
Faculty of Health Sciences, Universidad Rey Juan Carlos, Spain.
Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid, Spain.
Quant Imaging Med Surg. 2021 Jan;11(1):84-94. doi: 10.21037/qims-20-5.
The lateral ankle ligament complex is the most frequently injured ligament secondary to strong ankle inversion movement during lateral ankle sprains (LAS). Among these injuries, anterior talofibular ligament (ATFL) injury is the most frequent condition (present in 66-85% of such injuries). The purpose of this research was to use magnetic resonance imaging (MRI) to determine the association between ankle tendon, ligament, and joint conditions and ATFL injuries.
A case-control MRI study was carried out to compare the presence of ankle muscle, tendon, ligament, and joint conditions in patients with injured ATFLs (case group; n=25) and non-injured ATFLs (control group; n=25).
Achilles tendinopathy was present in 1/25 (4%) patients with injured ATFLs and 7/25 (28%) non-injured ATFL subjects (P=0.048). Injured calcaneofibular ligaments (CFLs) were present in 19/25 (76%) patients with injured ATFLs and 1/25 (4%) non-injured ATFL subjects (P<0.001). Finally, injured tibiotalar joints were present in 16/25 (64%) patients with injured ATFLs and 5/25 (20%) non-injured ATFL subjects (P=0.002). Other musculoskeletal structure injuries occurred at similar rates between patients with injured ATFLs and those with non-injured ATLFs (P≥0.05).
Patients with ATFL injuries showed a greater presence of CFL and tibiotalar joint injuries than subjects with non-injured ATFLs.
在外侧踝关节扭伤（LAS）期间，由于强烈的踝关节内翻运动，外侧踝关节韧带复合体是最常受伤的韧带。在这些损伤中，距腓前韧带（ATFL）损伤最为常见（在这类损伤中占66%-85%）。本研究的目的是使用磁共振成像（MRI）来确定踝关节肌腱、韧带和关节状况与ATFL损伤之间的关联。
进行了一项病例对照MRI研究，以比较ATFL损伤患者（病例组；n=25）和未损伤ATFL患者（对照组；n=25）踝关节肌肉、肌腱、韧带和关节状况的存在情况。
在25例ATFL损伤患者中，1例（4%）存在跟腱病，而在25例未损伤ATFL的受试者中，7例（28%）存在跟腱病（P=0.048）。在25例ATFL损伤患者中，19例（76%）存在距腓韧带（CFL）损伤，而在25例未损伤ATFL的受试者中，1例（4%）存在距腓韧带损伤（P<0.001）。最后，在25例ATFL损伤患者中，16例（64%）存在胫距关节损伤，而在25例未损伤ATFL的受试者中，5例（20%）存在胫距关节损伤（P=0.002）。ATFL损伤患者和未损伤ATLF患者之间其他肌肉骨骼结构损伤的发生率相似（P≥0.05）。
与未损伤ATFL的受试者相比，ATFL损伤患者中CFL和胫距关节损伤的发生率更高。
