Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room
ABSTRACT Objective To use magnetic resonance imaging to assess the prevalence of foot and ankle ligament injuries and fractures associated with ankle sprain and not diagnosed by x-ray. Methods We included 180 consecutive patients with a history of ankle sprain, assessed at a primary care service...
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doaj-70fab63527c74098b3042eb1485774d62020-11-25T01:38:33ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63851810.31744/einstein_journal/2020ao4739S1679-45082020000100200Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency roomPedro DebieuxAndre WajnsztejnNacime Salomão Barbachan MansurABSTRACT Objective To use magnetic resonance imaging to assess the prevalence of foot and ankle ligament injuries and fractures associated with ankle sprain and not diagnosed by x-ray. Methods We included 180 consecutive patients with a history of ankle sprain, assessed at a primary care service in a 12-month period. Magnetic resonance imaging findings were recorded and described. Results Approximately 92% of patients had some type of injury shown on the magnetic resonance imaging. We found 379 ligament injuries, 9 osteochondral injuries, 19 tendinous injuries and 51 fractures. Only 14 magnetic resonance imaging tests (7.8%) did not show any sort of injury. We observed a positive relation between injuries of the lateral complex, syndesmosis and medial ligaments. However, there was a negative correlation between ankle ligament injuries and midfoot injuries. Conclusion There was a high rate of injuries secondary to ankle sprains. We found correlation between lateral ligament injuries and syndesmosis and deltoid injuries. We did not observe a relation between deltoid and syndesmosis injuries or between lateral ligamentous and subtalar injuries. Similarly, no relation was found between ankle and midfoot injuries.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100200&lng=en&tlng=enTraumatismos do tornozelo/etiologiaOssos do tarso/lesõesLigamentos colateraisEntorses e distensões/epidemiologiaFratura avulsãoImagem por ressonância magnéticaTraumatismos do tornozelo/epidemiologia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pedro Debieux Andre Wajnsztejn Nacime Salomão Barbachan Mansur |
spellingShingle |
Pedro Debieux Andre Wajnsztejn Nacime Salomão Barbachan Mansur Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room Einstein (São Paulo) Traumatismos do tornozelo/etiologia Ossos do tarso/lesões Ligamentos colaterais Entorses e distensões/epidemiologia Fratura avulsão Imagem por ressonância magnética Traumatismos do tornozelo/epidemiologia |
author_facet |
Pedro Debieux Andre Wajnsztejn Nacime Salomão Barbachan Mansur |
author_sort |
Pedro Debieux |
title |
Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
title_short |
Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
title_full |
Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
title_fullStr |
Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
title_full_unstemmed |
Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
title_sort |
epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room |
publisher |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
series |
Einstein (São Paulo) |
issn |
2317-6385 |
description |
ABSTRACT Objective To use magnetic resonance imaging to assess the prevalence of foot and ankle ligament injuries and fractures associated with ankle sprain and not diagnosed by x-ray. Methods We included 180 consecutive patients with a history of ankle sprain, assessed at a primary care service in a 12-month period. Magnetic resonance imaging findings were recorded and described. Results Approximately 92% of patients had some type of injury shown on the magnetic resonance imaging. We found 379 ligament injuries, 9 osteochondral injuries, 19 tendinous injuries and 51 fractures. Only 14 magnetic resonance imaging tests (7.8%) did not show any sort of injury. We observed a positive relation between injuries of the lateral complex, syndesmosis and medial ligaments. However, there was a negative correlation between ankle ligament injuries and midfoot injuries. Conclusion There was a high rate of injuries secondary to ankle sprains. We found correlation between lateral ligament injuries and syndesmosis and deltoid injuries. We did not observe a relation between deltoid and syndesmosis injuries or between lateral ligamentous and subtalar injuries. Similarly, no relation was found between ankle and midfoot injuries. |
topic |
Traumatismos do tornozelo/etiologia Ossos do tarso/lesões Ligamentos colaterais Entorses e distensões/epidemiologia Fratura avulsão Imagem por ressonância magnética Traumatismos do tornozelo/epidemiologia |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100200&lng=en&tlng=en |
work_keys_str_mv |
AT pedrodebieux epidemiologyofinjuriesduetoanklespraindiagnosedinanorthopedicemergencyroom AT andrewajnsztejn epidemiologyofinjuriesduetoanklespraindiagnosedinanorthopedicemergencyroom AT nacimesalomaobarbachanmansur epidemiologyofinjuriesduetoanklespraindiagnosedinanorthopedicemergencyroom |
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