Widener University, Chester, Pennsylvania, USA.
Sports Health. 2024 Jan-Feb;16(1):26-28. doi: 10.1177/19417381221147511. Epub 2023 Jan 23.
Lateral ankle sprains are a common musculoskeletal injury. The anterior talofibular ligament (ATFL) is the primary ligament involved and is assessed via an anterior drawer test. Clinically assessing joint laxity has been a subjective task. Evaluating both magnitude of translation and quality of the endfeel has presented challenges. Until recently, a reliable and valid arthrometer to test joints other than the knee has not been available. The Mobil-Aider arthrometer has undergone bench testing for validity, reliability testing in healthy persons, and most recently the testing of participants for pathology. A summary of these studies is available in the Online Supplement. The goal of this study was to determine the ability of the arthrometer to objectively identify the anterior translation of the ankle and the relationship to the clinical diagnosis. The participant was evaluated by a physician and magnitude of ankle sprain was determined. An arthrometer was used to perform an anterior drawer test (uninjured before injured, 3 measures each) in the prone position. Both clinicians were blinded to the data of the other. There were 30 participants, 10 per group (uninjured, 1° sprain, 2° sprain). Mann-Whitney U testing found significant differences between the control and grade 1 ankle sprain groups ( < .001), the control and grade 2 ankle sprain groups ( < .001), and the grade 1 and grade 2 ankle sprain groups ( = .004). There was ± 0.31 mm difference in anterior translation between healthy ankles, whereas there was 1.11 mm and 2.16 mm difference between ankles in grade 1 and grade 2 sprains, respectively. The anterior drawer test is the gold standard for clinical ATFL testing, but the subjective nature of this test poses challenges. Technology is available to assess ankle joint laxity and enhance the objectivity of patient assessment and throughout the recovery process. An arthrometer is a valuable tool in quantifying orthopaedic examination.
外侧踝关节扭伤是一种常见的肌肉骨骼损伤。距腓前韧带(ATFL)是主要涉及的韧带,并通过前抽屉试验进行评估。临床评估关节松弛度一直是一项主观任务。评估平移的幅度和终末感觉的质量都具有挑战性。直到最近,一种可靠和有效的关节测量仪还无法用于测试除膝关节以外的关节。Mobil-Aider 关节测量仪已经经过了有效性的台架测试、健康人群的可靠性测试,以及最近对有病理患者的测试。这些研究的摘要可在在线补充材料中找到。本研究的目的是确定关节测量仪客观识别踝关节前向平移的能力及其与临床诊断的关系。研究对象由医生进行评估,并确定踝关节扭伤的程度。使用关节测量仪在俯卧位进行前抽屉试验(未受伤前、受伤后各进行 3 次测量)。两位临床医生都对对方的数据进行了盲法处理。共有 30 名参与者,每组 10 名(未受伤、1 度扭伤、2 度扭伤)。Mann-Whitney U 检验发现,对照组和 1 度踝关节扭伤组之间( <.001)、对照组和 2 度踝关节扭伤组之间( <.001)以及 1 度和 2 度踝关节扭伤组之间( =.004)存在显著差异。健康踝关节之间的前向平移差异为±0.31mm,而 1 度和 2 度扭伤踝关节之间的差异分别为 1.11mm 和 2.16mm。前抽屉试验是临床 ATFL 测试的金标准,但该测试的主观性带来了挑战。目前已有技术可用于评估踝关节松弛度,并提高患者评估和整个康复过程的客观性。关节测量仪是量化骨科检查的有价值工具。
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