Yokoe Takuji, Tajima Takuya, Yamaguchi Nami, Morita Yudai, Chosa Etsuo
Division of Orthopaedic Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
J Clin Med. 2022 Mar 22;11(7):1759. doi: 10.3390/jcm11071759.
The Beighton score (BS) is widely used to evaluate generalized joint laxity. However, the association between the BS and lateral ankle laxity is unclear. This study compared the ultrasonographic (US) findings of the anterior talofibular ligament (ATFL) between high- (≥6) and low- (≤3) BS groups of healthy young women. The ATFL lengths of healthy young women were measured in the stress and nonstress positions using the previously reported technique from March 2021 to January 2022. The ATFL ratio (ratio of stress to nonstress ATFL length) was used as an indicator of lateral ankle laxity. The anterior drawer test (ADT) was performed. The correlation between the BS and US findings was also examined. A total of 20 (high-BS group) and 61 (low-BS group) subjects with a mean age of 23.8 ± 1.0 years were included. The high-BS group showed a higher grade of ADT than the low-BS group. No significant differences were found in the nonstress and stress ATFL lengths and ATFL ratio (1.10 ± 0.05 vs. 1.09 ± 0.05, = 0.19) between the groups. No correlation was found between the BS and US findings. In conclusion, this study did not detect significant differences in the US findings of the ATFL between the high- and low-BS groups.
贝顿评分(BS)被广泛用于评估全身关节松弛度。然而,BS与踝关节外侧松弛度之间的关联尚不清楚。本研究比较了健康年轻女性中高贝顿评分组(≥6分)和低贝顿评分组(≤3分)的距腓前韧带(ATFL)超声检查结果。在2021年3月至2022年1月期间,采用先前报道的技术,在应力位和非应力位测量健康年轻女性的ATFL长度。将ATFL比率(应力位与非应力位ATFL长度之比)用作踝关节外侧松弛度的指标。进行了前抽屉试验(ADT)。还检查了BS与超声检查结果之间的相关性。共纳入20名(高贝顿评分组)和61名(低贝顿评分组)受试者,平均年龄为23.8±1.0岁。高贝顿评分组的ADT分级高于低贝顿评分组。两组之间在非应力位和应力位的ATFL长度以及ATFL比率方面未发现显著差异(1.10±0.05 vs. 1.09±0.05,P = 0.19)。在BS与超声检查结果之间未发现相关性。总之,本研究未发现高贝顿评分组和低贝顿评分组在ATFL超声检查结果上存在显著差异。