THE USE OF STRESS-TEST DURING SONOGRAPHY IN THE EARLY DIAGNOSTIC OF THE INJURY OF THE LATERAL GROUP OF LIGAMENTS WITH THE INVERSION TRAUMA OF ANKLE JOINT
DOI:
https://doi.org/10.11603/2415-8798.2019.2.10252Keywords:
trauma, damage, ligaments, degree of damage of ligament, ankle joint, stress test, sonographyAbstract
The acute damage to the connective apparatus of the ankle joint is one of the most common types of injuries in the musculoskeletal system. In this type of damage mainly involves the lateral ligamet complex which includes the anterior talofibular ligament, calcaneofibular ligament, posterior talofibular ligament. The ultrasound has a number of advantages over additional research methods such as CT and MRI to rate the condition of the ligament apparatus of the joints, mainly its ability to assess the state of the relationship with the use of stress tests in real time.
The aim of the study – to evaluate the possibilities of ultrasound research using stress tests at various degrees of damage to the lateral group of ligaments of ankle joint due to acute inversion trauma.
Materials and Methods. The study involves 43 patients, aged from 19 to 48 years with a severe inversion traumatic involvement of the ankle joint, of whom 26 (60.47 %) men and 17 (39.53 %) women. The average age of the patients was (26.3±4.8) years. The examination in most cases was carried out on 4–6 days from the moment of injury after primal examination of the orthopedic traumatologist. The tests were conducted by Aloka SSD 2000 and Acuson Antares (Siemens) using high-frequency broadband sensors with a working frequency of 7–12 MHz. In the course of clinical and sonographic examination the following results were obtained: Ligament damage of I degree was detected in 12 (27.90 %) patients. Partial communication gap (II degree), was found in 26 (60.47 %). Damage of the III degree (severe) is a complete break of the connection with significant pain, edema and hematoma was found in 5 (11.63 %) people.
Conclusions. Sonography using stress tests is a valuable method of diagnosing different degrees of damage to the lateral group of ligaments of ankle joint in acute inversion trauma in real time. The obtained results require further research and technological improvement of the stress test method in case of damage to the lateral ligaments group of the ankle joint. The obtained results require further research in order to develop technological equipment and improve the method of conducting a stress test, which will improve the quality of the results of sonography of the lateral group of lagaments with acute inversion trauma of the ankle joint.
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