Clinical diagnosis, arthrography, stress examination and surgical findings after inversion trauma of the ankle
In a series of 921 patients with acute inversion trauma of the ankle joint, the diagnostic features of lateral ligamentous ruptures were evaluated. Patients with proven lateral ligamentous rupture (150 patients in this series) were submitted to a prospective trial to compare three methods of treatme...
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Veröffentlicht in: | Archives of orthopaedic and traumatic surgery 1984-01, Vol.103 (2), p.115-119 |
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creator | van den Hoogenband, C R van Moppes, F I Stapert, J W Greep, J M |
description | In a series of 921 patients with acute inversion trauma of the ankle joint, the diagnostic features of lateral ligamentous ruptures were evaluated. Patients with proven lateral ligamentous rupture (150 patients in this series) were submitted to a prospective trial to compare three methods of treatment. In the 50 patients operated upon, the results of clinical diagnosis, stress radiography, and ankle arthrography were compared with surgical findings. Clinical diagnosis proved to be of very little value. The positive signs of ankle arthrography showed a reliability of 96% in predicting ligamentous rupture. Inversion stress radiography under full anesthesia showed a reliability of 92%, but the same investigation under local anesthesia, however, was only 68%. |
doi_str_mv | 10.1007/BF00389583 |
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Patients with proven lateral ligamentous rupture (150 patients in this series) were submitted to a prospective trial to compare three methods of treatment. In the 50 patients operated upon, the results of clinical diagnosis, stress radiography, and ankle arthrography were compared with surgical findings. Clinical diagnosis proved to be of very little value. The positive signs of ankle arthrography showed a reliability of 96% in predicting ligamentous rupture. Inversion stress radiography under full anesthesia showed a reliability of 92%, but the same investigation under local anesthesia, however, was only 68%.</description><identifier>ISSN: 0344-8444</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/BF00389583</identifier><identifier>PMID: 6477070</identifier><language>eng</language><publisher>Germany</publisher><subject>Ankle Injuries ; Ankle Joint - diagnostic imaging ; Ankle Joint - surgery ; Humans ; Ligaments, Articular - diagnostic imaging ; Ligaments, Articular - injuries ; Ligaments, Articular - surgery ; Prospective Studies ; Radiography ; Rupture ; Stress, Mechanical</subject><ispartof>Archives of orthopaedic and traumatic surgery, 1984-01, Vol.103 (2), p.115-119</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-b6d451831ea15b5841b50fff9279baa35161c3eb01a12bb7a2588564c74fada23</citedby><cites>FETCH-LOGICAL-c311t-b6d451831ea15b5841b50fff9279baa35161c3eb01a12bb7a2588564c74fada23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6477070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Hoogenband, C R</creatorcontrib><creatorcontrib>van Moppes, F I</creatorcontrib><creatorcontrib>Stapert, J W</creatorcontrib><creatorcontrib>Greep, J M</creatorcontrib><title>Clinical diagnosis, arthrography, stress examination and surgical findings after inversion trauma of the ankle</title><title>Archives of orthopaedic and traumatic surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><description>In a series of 921 patients with acute inversion trauma of the ankle joint, the diagnostic features of lateral ligamentous ruptures were evaluated. Patients with proven lateral ligamentous rupture (150 patients in this series) were submitted to a prospective trial to compare three methods of treatment. In the 50 patients operated upon, the results of clinical diagnosis, stress radiography, and ankle arthrography were compared with surgical findings. Clinical diagnosis proved to be of very little value. The positive signs of ankle arthrography showed a reliability of 96% in predicting ligamentous rupture. Inversion stress radiography under full anesthesia showed a reliability of 92%, but the same investigation under local anesthesia, however, was only 68%.</description><subject>Ankle Injuries</subject><subject>Ankle Joint - diagnostic imaging</subject><subject>Ankle Joint - surgery</subject><subject>Humans</subject><subject>Ligaments, Articular - diagnostic imaging</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - surgery</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Rupture</subject><subject>Stress, Mechanical</subject><issn>0344-8444</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0DFPwzAQhmELgUpVurAjeUYN-GI7TkaoKCBVYoE5Oid2akicyk4R_fdtaQXTLc93w0vINbA7YEzdPy4Y43khc35GxiC4SHgB2TkZMy5EkgshLsk0xk_GDk7JtBiRUSaUYoqNiZ-3zrsKW1o7bHwfXZxRDMMq9E3A9Wo7o3EIJkZqfrBzHgfXe4q-pnETmt-hdb52vokU7WACdf7bhHhQQ8BNh7S3dFiZ_earNVfkwmIbzfR0J-Rj8fQ-f0mWb8-v84dlUnGAIdFZLSTkHAyC1DIXoCWz1hapKjQil5BBxY1mgJBqrTCVeS4zUSlhscaUT8jt8W8V-hiDseU6uA7DtgRWHrKV_9n2-OaI1xvdmfqPniLxHT9iaOY</recordid><startdate>19840101</startdate><enddate>19840101</enddate><creator>van den Hoogenband, C R</creator><creator>van Moppes, F I</creator><creator>Stapert, J W</creator><creator>Greep, J M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>19840101</creationdate><title>Clinical diagnosis, arthrography, stress examination and surgical findings after inversion trauma of the ankle</title><author>van den Hoogenband, C R ; van Moppes, F I ; Stapert, J W ; Greep, J M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-b6d451831ea15b5841b50fff9279baa35161c3eb01a12bb7a2588564c74fada23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Ankle Injuries</topic><topic>Ankle Joint - diagnostic imaging</topic><topic>Ankle Joint - surgery</topic><topic>Humans</topic><topic>Ligaments, Articular - diagnostic imaging</topic><topic>Ligaments, Articular - injuries</topic><topic>Ligaments, Articular - surgery</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Rupture</topic><topic>Stress, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van den Hoogenband, C R</creatorcontrib><creatorcontrib>van Moppes, F I</creatorcontrib><creatorcontrib>Stapert, J W</creatorcontrib><creatorcontrib>Greep, J M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Archives of orthopaedic and traumatic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van den Hoogenband, C R</au><au>van Moppes, F I</au><au>Stapert, J W</au><au>Greep, J M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical diagnosis, arthrography, stress examination and surgical findings after inversion trauma of the ankle</atitle><jtitle>Archives of orthopaedic and traumatic surgery</jtitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>1984-01-01</date><risdate>1984</risdate><volume>103</volume><issue>2</issue><spage>115</spage><epage>119</epage><pages>115-119</pages><issn>0344-8444</issn><eissn>1434-3916</eissn><abstract>In a series of 921 patients with acute inversion trauma of the ankle joint, the diagnostic features of lateral ligamentous ruptures were evaluated. Patients with proven lateral ligamentous rupture (150 patients in this series) were submitted to a prospective trial to compare three methods of treatment. In the 50 patients operated upon, the results of clinical diagnosis, stress radiography, and ankle arthrography were compared with surgical findings. Clinical diagnosis proved to be of very little value. The positive signs of ankle arthrography showed a reliability of 96% in predicting ligamentous rupture. Inversion stress radiography under full anesthesia showed a reliability of 92%, but the same investigation under local anesthesia, however, was only 68%.</abstract><cop>Germany</cop><pmid>6477070</pmid><doi>10.1007/BF00389583</doi><tpages>5</tpages></addata></record> |
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subjects | Ankle Injuries Ankle Joint - diagnostic imaging Ankle Joint - surgery Humans Ligaments, Articular - diagnostic imaging Ligaments, Articular - injuries Ligaments, Articular - surgery Prospective Studies Radiography Rupture Stress, Mechanical |
title | Clinical diagnosis, arthrography, stress examination and surgical findings after inversion trauma of the ankle |
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