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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Main Authors: Gregory E. Lause MD, Joshua Sy DO, Andrew Lopez, J. Banks Deal MD, Michael Lustik MS, Paul M. Ryan MD
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Foot & Ankle Orthopaedics
Online Access:https://doi.org/10.1177/2473011421S00303
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author Gregory E. Lause MD
Joshua Sy DO
Andrew Lopez
J. Banks Deal MD
Michael Lustik MS
Paul M. Ryan MD
author_facet Gregory E. Lause MD
Joshua Sy DO
Andrew Lopez
J. Banks Deal MD
Michael Lustik MS
Paul M. Ryan MD
author_sort Gregory E. Lause MD
collection DOAJ
description 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.
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spelling doaj.art-88c3b4cccd884489ac85b7fb0750ee012022-12-21T20:21:06ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142022-01-01710.1177/2473011421S00303Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle InstabilityGregory E. Lause MDJoshua Sy DOAndrew LopezJ. Banks Deal MDMichael Lustik MSPaul M. Ryan MDCategory: 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.https://doi.org/10.1177/2473011421S00303
spellingShingle Gregory E. Lause MD
Joshua Sy DO
Andrew Lopez
J. Banks Deal MD
Michael Lustik MS
Paul M. Ryan MD
Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
Foot & Ankle Orthopaedics
title Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
title_full Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
title_fullStr Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
title_full_unstemmed Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
title_short Correlation of Stress Radiographs to Injuries Associated with Lateral Ankle Instability
title_sort correlation of stress radiographs to injuries associated with lateral ankle instability
url https://doi.org/10.1177/2473011421S00303
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