Role of High Resolution Ultrasonography in Ankle Overuse and Sports Injuries
Mahmoud Ali Mahmoud Soliman;
Abstract
US is the most practical and rapid method of obtaining images of the MSK system. It can be performed readily in the clinic, with assessment of multiple joints at the same appointment, providing a ‘one stop’ answer to many MSK problems. This relatively inexpensive technology with the benefits of portability and real-time dynamic examination has made it possible to provide a diagnostics service in the community or even on the sports field.
Ultrasonography (US) performed with high-resolution linear-array probes has become advanced in the assessment of ligaments around the ankle joint. US can provide a detailed depiction of normal anatomic structures and is effective for evaluating ligament and tendon integrity.
US performed by the physician provides an excellent opportunity for patient education and to explain the rationale for treatments. With increasing experience the examiner is able to perform focused examination which provides immediate answers to any clinical queries raised.
However, the main disadvantage of diagnostic ultrasound examination is that it is operator dependent. In tendinopathy, the sonographer has to interpret gray scale and power Doppler tendon appearances and decide on what images are acquired and archived.
Therefore, an algorithm can be devised to take this into account. If a clinician has suspicion for a focal tendon abnormality, such as tear, then ultrasound can be considered. If the clinician is suspecting something more than a focal tendon problem then MRI should be considered. The drawback of this algorithm is that the decision on choice of imaging relies on the clinicians’ suspicions of specific pathology. As an alternative algorithm, sonography may be considered the first line of imaging for joint problems after radiography.
Our study aimed to assess the diagnostic accuracy of ultrasonography for the assessment of tendons and ligaments around the ankle joint.
Ultrasonography (US) performed with high-resolution linear-array probes has become advanced in the assessment of ligaments around the ankle joint. US can provide a detailed depiction of normal anatomic structures and is effective for evaluating ligament and tendon integrity.
US performed by the physician provides an excellent opportunity for patient education and to explain the rationale for treatments. With increasing experience the examiner is able to perform focused examination which provides immediate answers to any clinical queries raised.
However, the main disadvantage of diagnostic ultrasound examination is that it is operator dependent. In tendinopathy, the sonographer has to interpret gray scale and power Doppler tendon appearances and decide on what images are acquired and archived.
Therefore, an algorithm can be devised to take this into account. If a clinician has suspicion for a focal tendon abnormality, such as tear, then ultrasound can be considered. If the clinician is suspecting something more than a focal tendon problem then MRI should be considered. The drawback of this algorithm is that the decision on choice of imaging relies on the clinicians’ suspicions of specific pathology. As an alternative algorithm, sonography may be considered the first line of imaging for joint problems after radiography.
Our study aimed to assess the diagnostic accuracy of ultrasonography for the assessment of tendons and ligaments around the ankle joint.
Other data
| Title | Role of High Resolution Ultrasonography in Ankle Overuse and Sports Injuries | Other Titles | دورالموجات فوق الصوتية عالية الوضوح فى اصابات الرياضة و الاستخدام المفرط فى الكاحل | Authors | Mahmoud Ali Mahmoud Soliman | Issue Date | 2019 |
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