Li Xiongtao,Sun Jie,Wang Si,et al.Application of musculoskeletal ultrasound in acute lateral ankle sprain in children[J].Journal of Clinical Pediatric Surgery,,():1015-1018.[doi:10.3760/cma.j.cn101785-202409026-003]
Application of musculoskeletal ultrasound in acute lateral ankle sprain in children
- Keywords:
- Ultrasound; Ligament Injury; Fracture; Surgical Procedures; Operative; Child
- Abstract:
- Objective To preliminarily explore the reliability of musculoskeletal ultrasound in evaluating acute lateral ankle sprain in children. Methods This retrospective study included 57 children with acute ankle sprains who were treated at Wuhan Children’s Hospital between October 2023 and August 2024.All patients underwent clinical ankle stability tests,musculoskeletal ultrasound of the ankle,standard X-ray of the ankle in anterior-posterior and lateral views,and ankle MRI.Musculoskeletal ultrasound primarily assessed avulsion fractures of the lateral malleolus,and the integrity of the anterior talofibular and calcaneofibular ligaments.Using MRI as the gold standard,the reliability of clinical stability tests,musculoskeletal ultrasound,and standard X-rays were compared. Results The sensitivity and specificity of the clinical stability test in assessing lateral ankle ligament injury were 81% (17/21) and 53% (19/36),respectively.Musculoskeletal ultrasound had a sensitivity of 95% (20/21) and specificity of 94% (34/36) for assessing anterior talofibular ligament injury,a sensitivity of 80% (4/5) and specificity of 98% (51/52) for calcaneofibular ligament injury,and a sensitivity of 96% (27/28) and specificity of 83% (24/29) for lateral malleolus avulsion fractures.Standard X-ray had a sensitivity of 39% (11/28) and specificity of 100% (29/29) in detecting lateral malleolus fractures. Conclusions Musculoskeletal ultrasound can accurately detect cartilaginous avulsion fractures of the lateral malleolus that may be missed by X-rays,as well as injuries to the lateral ankle ligaments.As a reliable,accurate,and radiation-free imaging method,musculoskeletal ultrasound can be used for early diagnosis of acute ankle sprains in children.
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Memo
收稿日期:2024-9-9。
基金项目:武汉市卫健委科研项目(WX23A10);武汉儿童医院“腾飞计划”临床研究类项目(2023TFJH01)
通讯作者:沈先涛,Email:xiantaoshen9815@aliyun.com