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Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability

Category: Ankle; Sports Introduction/Purpose: Stress radiographs have demonstrated superior efficacy in the evaluation of ankle instability. The purpose of this study is to determine if there is a degree of instability evidenced by stress radiographs that is associated with pathology concomitant wit...

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Bibliographic Details
Published in:Foot & ankle orthopaedics 2022-01, Vol.7 (1), p.2473011421S00303
Main Authors: Lause, Gregory E., Sy, Joshua, Lopez, Andrew, Deal, J. Banks, Lustik, Michael, Ryan, Paul M.
Format: Article
Language:English
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Summary:Category: Ankle; Sports Introduction/Purpose: Stress radiographs have demonstrated superior efficacy in the evaluation of ankle instability. The purpose of this study is to determine if there is a degree of instability evidenced by stress radiographs that is associated with pathology concomitant with ankle ligamentous instability. Methods: A retrospective review of 87 consecutive patients aged 18-74 who had stress radiographs performed at a single institution between 2014 and 2020 was performed. These manual radiographic stress views were then correlated with MRI and operative findings. Results: A statistically significant association was determined for the mean and median stress radiographic values and the presence of peroneal pathology (p=0.008 for tendonitis and p= 0.020 for peroneal tendon tears). A significant inverse relationship was found between the presence of an osteochondral defect and increasing degrees of instability (p=0.043). Conclusion: Stress radiographs may assist the surgeon in clinical decision making.
ISSN:2473-0114
2473-0114
DOI:10.1177/2473011421S00303