Diagnostic Value of Early Magnetic Resonance Imaging After Acute Lateral Ankle Injury

J Foot Ankle Surg. 2017 Nov-Dec;56(6):1143-1146. doi: 10.1053/j.jfas.2017.05.011.

Abstract

We report a retrospective study of 171 consecutive patients with a lateral ankle sprain. All the patients with direct or blunt force trauma were excluded. Within 21 days of injury, 115 (67.25%) patients had undergone magnetic resonance imaging to evaluate for more serious or significant injuries. The average patient age was 44.09 years. Of the 115 patients, 75 (65.23%) had findings noted to be "significant." MRI can serve as a valuable and underused tool in the evaluation of acute lateral ankle injuries. The underuse of MRI might explain the high degree of variability in patients recovering from a lateral ankle sprain.

Keywords: ankle sprain; bone contusion; fracture; osteochondral lesion; peroneal tendon; syndesmosis.

MeSH terms

  • Adult
  • Age Factors
  • Ankle Fractures / diagnostic imaging*
  • Ankle Injuries / diagnostic imaging*
  • Ankle Joint / diagnostic imaging*
  • Delayed Diagnosis* / adverse effects
  • Delayed Diagnosis* / prevention & control
  • Diagnostic Errors / prevention & control
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Sensitivity and Specificity
  • Sprains and Strains / diagnostic imaging*
  • Talus / diagnostic imaging
  • Talus / injuries
  • Young Adult