应力位X线片与外侧踝关节不稳相关损伤的相关性
Correlation of stress radiographs to injuries associated with lateral ankle instability.
作者信息
Sy Joshua W, Lopez Andrew J, Lausé Gregory E, Deal J Banks, Lustik Michael B, Ryan Paul M
机构信息
Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, HI 96859, United States.
Department of Statistics, Tripler Army Medical Center, Honolulu, HI 96859, United States.
出版信息
World J Orthop. 2021 Sep 18;12(9):710-719. doi: 10.5312/wjo.v12.i9.710.
BACKGROUND
Stress radiographs have demonstrated superior efficacy in the evaluation of ankle instability.
AIM
To determine if there is a degree of instability evidenced by stress radiographs that is associated with pathology concomitant with ankle ligamentous instability.
METHODS
A retrospective review of 87 consecutive patients aged 18-74 who had stress radiographs performed at a single institution between 2014 and 2020 was performed. These manual radiographic stress views were then correlated with magnetic resonance imaging and operative findings.
RESULTS
A statistically significant association was determined for the mean and median stress radiographic values and the presence of peroneal pathology ( = 0.008 for tendonitis and = 0.020 for peroneal tendon tears). A significant inverse relationship was found between the presence of an osteochondral defect and increasing degrees of instability ( = 0.043).
CONCLUSION
Although valuable in the clinical evaluation of ankle instability, stress radiographs are not an independent predictor of conditions associated with ankle instability.
背景
应力位X线片在评估踝关节不稳方面已显示出卓越的效能。
目的
确定应力位X线片所显示的某种程度的不稳是否与踝关节韧带不稳相关的病理情况有关。
方法
对2014年至2020年间在单一机构接受应力位X线片检查的87例年龄在18 - 74岁的连续患者进行回顾性研究。然后将这些手动X线应力位片与磁共振成像及手术结果进行对比。
结果
确定平均和中位数应力位X线片值与腓骨病理情况之间存在统计学显著关联（肌腱炎的P = 0.008，腓骨肌腱撕裂的P = 0.020）。发现骨软骨损伤的存在与不稳程度增加之间存在显著的负相关（P = 0.043）。
结论
尽管应力位X线片在踝关节不稳的临床评估中有价值，但它并非与踝关节不稳相关病症的独立预测指标。
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