CT arthrography for demonstration of various articular injuries in post-sprained ankle pain

Background Post-sprained ankles may sustain ligamentous tear, chondral defect, or osteochondral lesions (OCL). Being widely available and does not depend on high-end machine, the aim of this study was to assess the value of high resolution multi-detector CT arthrography (CTA) in detection of various...

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Bibliographic Details
Published in:Egyptian journal of radiology and nuclear medicine 2019-12, Vol.50 (1), p.97-10
Main Authors: El-Sherif, Ashraf Mohamed Hassan, Mohamed, Mohamed Ali Ahmed, El-Ameen, Nadia Farouk Mohamed, Samra, Manal Fayez Abu, Abdel-Naby, Alkawthar Ezedin Saied
Format: Article
Language:English
Subjects:
Ankle
Ankle sprain
Cartilage
Chondral defect
CT arthrography
CT imaging
Detectors
Injuries
Ligament tear
Ligaments
Osteochordral lesion
Pain
Sensors
Statistical analysis
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Summary:Background Post-sprained ankles may sustain ligamentous tear, chondral defect, or osteochondral lesions (OCL). Being widely available and does not depend on high-end machine, the aim of this study was to assess the value of high resolution multi-detector CT arthrography (CTA) in detection of various ligamentous tears, chondral defects, and osteochondral lesions in case of sprain-related persistent ankle pain. Results There were 34 (68%) cases of ligamentous injury, most of which had single ligament affection whereas some cases demonstrated multi-ligamentous injury, and the total number of individual injured ligaments was 42 ligaments. There were 36 cases (72%) which had either chondral or osteochondral defects; the total number of OCL was 21 lesions and the total number of segmental cartilage defects was 20. Conclusion This study emphasized the diagnostic importance of multi-detector CTA in sprain-related ankle pain. In persistent post-sprained ankle pain, multi-detector CTA is a helpful imaging modality which could be utilized for detection of OCL, chondral defects, and various ligamentous tears.
ISSN:0378-603X
2090-4762
DOI:10.1186/s43055-019-0101-0