Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis
Abstract Background Various imaging techniques have been utilized for the diagnosis of chronic lateral ankle ligament injury. This systemic review will explore the effectiveness of different imaging techniques in diagnosing chronic lateral ankle ligament injury. Methods Relative studies were retriev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0811-4 |
| _version_ | 1828115232975749120 |
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| author | Shengxuan Cao Chen Wang Xin Ma Xu Wang Jiazhang Huang Chao Zhang |
| author_facet | Shengxuan Cao Chen Wang Xin Ma Xu Wang Jiazhang Huang Chao Zhang |
| author_sort | Shengxuan Cao |
| collection | DOAJ |
| description | Abstract Background Various imaging techniques have been utilized for the diagnosis of chronic lateral ankle ligament injury. This systemic review will explore the effectiveness of different imaging techniques in diagnosing chronic lateral ankle ligament injury. Methods Relative studies were retrieved after searching 3 databases (MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. Data were extracted to calculate pooled sensitivity and specificity of magnetic resonance imaging (MRI), ultrasonography (US), stress radiography, and arthrography. Results Fifteen studies met our inclusion and exclusion criteria. A total of 695 participants were included. The pooled sensitivities in diagnosing chronic ATFL injury were 0.83 [0.78, 0.87] for MRI, 0.99 [0.96, 1.00] for US, and 0.81 [0.68, 0.90] for stress radiography. The pooled specificities in diagnosing chronic ATFL injury were 0.79 [0.69, 0.87] for MRI, 0.91 [0.82, 0.97] for US, and 0.92 [0.79, 0.98] for stress radiography. The pooled sensitivities in diagnosing chronic CFL injury were 0.56 [0.46, 0.66] for MRI, 0.94 [0.85, 0.98] for US, and 0.90 [0.73, 0.98] for arthrography. The pooled specificities in diagnosing chronic CFL injury were 0.88 [0.82, 0.93] for MRI, 0.91 [0.80, 0.97] for US, and 0.90 [0.77, 0.97] for arthrography. Conclusion This systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of chronic lateral ankle ligament injury. Ultrasound manifested high diagnostic accuracy in diagnosing chronic lateral ankle ligament injury. Clinicians should be aware of the limitations of MRI in detecting chronic CFL injuries. |
| first_indexed | 2024-04-11T12:36:50Z |
| format | Article |
| id | doaj.art-ac64a368d49c4fb6b82ed932e064aade |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T12:36:50Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-ac64a368d49c4fb6b82ed932e064aade2022-12-22T04:23:36ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-05-0113111410.1186/s13018-018-0811-4Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysisShengxuan Cao0Chen Wang1Xin Ma2Xu Wang3Jiazhang Huang4Chao Zhang5Department of Orthopedics, Huashan Hospital, Fudan UniversityDepartment of Orthopedics, Huashan Hospital, Fudan UniversityDepartment of Orthopedics, Huashan Hospital, Fudan UniversityDepartment of Orthopedics, Huashan Hospital, Fudan UniversityDepartment of Orthopedics, Huashan Hospital, Fudan UniversityDepartment of Orthopedics, Huashan Hospital, Fudan UniversityAbstract Background Various imaging techniques have been utilized for the diagnosis of chronic lateral ankle ligament injury. This systemic review will explore the effectiveness of different imaging techniques in diagnosing chronic lateral ankle ligament injury. Methods Relative studies were retrieved after searching 3 databases (MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. Data were extracted to calculate pooled sensitivity and specificity of magnetic resonance imaging (MRI), ultrasonography (US), stress radiography, and arthrography. Results Fifteen studies met our inclusion and exclusion criteria. A total of 695 participants were included. The pooled sensitivities in diagnosing chronic ATFL injury were 0.83 [0.78, 0.87] for MRI, 0.99 [0.96, 1.00] for US, and 0.81 [0.68, 0.90] for stress radiography. The pooled specificities in diagnosing chronic ATFL injury were 0.79 [0.69, 0.87] for MRI, 0.91 [0.82, 0.97] for US, and 0.92 [0.79, 0.98] for stress radiography. The pooled sensitivities in diagnosing chronic CFL injury were 0.56 [0.46, 0.66] for MRI, 0.94 [0.85, 0.98] for US, and 0.90 [0.73, 0.98] for arthrography. The pooled specificities in diagnosing chronic CFL injury were 0.88 [0.82, 0.93] for MRI, 0.91 [0.80, 0.97] for US, and 0.90 [0.77, 0.97] for arthrography. Conclusion This systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of chronic lateral ankle ligament injury. Ultrasound manifested high diagnostic accuracy in diagnosing chronic lateral ankle ligament injury. Clinicians should be aware of the limitations of MRI in detecting chronic CFL injuries.http://link.springer.com/article/10.1186/s13018-018-0811-4Ankle ligamentsMeta-analysisImagingDiagnostic accuracy |
| spellingShingle | Shengxuan Cao Chen Wang Xin Ma Xu Wang Jiazhang Huang Chao Zhang Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis Journal of Orthopaedic Surgery and Research Ankle ligaments Meta-analysis Imaging Diagnostic accuracy |
| title | Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis |
| title_full | Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis |
| title_fullStr | Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis |
| title_full_unstemmed | Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis |
| title_short | Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis |
| title_sort | imaging diagnosis for chronic lateral ankle ligament injury a systemic review with meta analysis |
| topic | Ankle ligaments Meta-analysis Imaging Diagnostic accuracy |
| url | http://link.springer.com/article/10.1186/s13018-018-0811-4 |
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