High-frequency ultrasound examination of acute ankle joint ligament injury and secondary injury
Objective To explore the diagnostic value of high-frequency ultrasonography in the incidence of anterior talofibular ligament injury with different degrees and peripheral ligament injury,aimed at providing an imaging basis for the clinicians to formulate the diagnostic and treatment plan.Methods A total of 829 patients with anterior talofibular ligament injury diagnosed by high-frequency ultrasound in the Southern District of the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)from January 2021 to October 2023 were retrospectively analyzed.The ligament thickness of the anterior talofibular ligament and the calcaneofibular ligament were analyzed when the anterior talofibular ligament was damaged in different degrees,and the damage of the anterior talofibular ligament,the calcaneofibular ligament,and the peripheral ligaments were observed at the same time.Results In the case of incomplete anterior talofibular ligament injury,the thickness of left and right calcaneofibular ligament injury was 1.76±0.48 mm and 1.89±0.56 mm(P<0.05).The thickness of the anterior talofibular ligament was 1.83±0.53 mm and 2.14±0.55 mm for incomplete and complete injury of the anterior talofibular ligament(P<0.001).The injury degree of anterior talofibular ligament had statistical significance on the injury of calcaneofibular ligament and superior retinaculum(P<0.05).Conclusion A complete rupture of the anterior talofibular ligament injury can cause significant thickening of the calcaneofibular ligament,and the thickness of the right calcaneofibular ligament will be significantly thickened due to the presence of a right--sided dominance during exercise.Injury of the anterior talofibular ligament is more likely to cause combined injury of the calcaneofibular ligament.Therefore the superior retinaculum,and special attention should be paid to whether there is a combined injury during the examination.