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ORIGINAL ARTICLE
Year : 2016  |  Volume : 33  |  Issue : 1  |  Page : 49-53

Role of ultrasonography in assessment of tendons around ankle joint


1 Department of Radiodiagnosis, Faculty of Medicine, Benha University, Benha, Egypt
2 Department of Radiodiagnosis, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Amir G Mohamed Ahmed
3 Taqsim El-Mesaha, 9 St, El-Maadi, Cairo 11728
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-208X.194392

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Introduction Ankle injury is a common condition secondary to trauma; ultrasonography plays a big role in the assessment of a variety of musculoskeletal disorders. These improvements along with economic factors and availability have resulted in renewed interest in using ultrasound (US) as a diagnostic tool. As such, the efficacy of US has been compared with other modalities, in particular MRI, as a cost effective imaging alternative. Context US is a rapid, accurate, and cheap diagnosing tool. Aims The aim of this study was to show the efficacy of US as a cost effective diagnostic imaging alternative. Settings and design Selected individuals of ankle or foot injuries by clinical examination, with no exclusion criteria. Performing real time ankle US bilaterally for each patient. Participants and methods They will be divided into two groups: first control group which demonstrates 25 asymptomatic ankle ligaments and tendons. Second group includes 25 patients suffering from unilateral or bilateral ankle as sequelae of trauma. All patients will be subjected to history taking and real-time high-resolution ultrasonography. The procedures followed were in accordance with the ethical standards and approval by Benha University. Statistical analysis used Parametric analysis of our results using Excel program. Results Forty pathological entities were diagnosed by both utilized imaging modalities in 25 cases. The study included 11 cases with tendon pathology that were interpreted into 13 pathological entities by all imaging modalities. However, US missed two cases: (a) a case of partial tear of Achilles tendon; (b) a case of flexor hallucis longus tenosynovitis. US could detect all of the ligamentous lesions identified in three cases, which were interpreted as tear by MRI, likely due to US anisotropy effect. Conclusion Ankle US is a rapid, accurate, and cost effective imaging modality.


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