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
Hauptverfasser: van den Hoogenband, C R, van Moppes, F I, Stapert, J W, Greep, J M
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container_issue 2
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container_title Archives of orthopaedic and traumatic surgery
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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%.
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source MEDLINE; SpringerLink Journals - AutoHoldings
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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