Ankle Sprains
Conditions
Keywords
Ankle, sprain, diagnosis, ultrasound, MRI
Brief summary
Ankle sprain is a frequent and widely trivialized trauma. Misdiagnosed or poorly treated, it can recur and thus develop into chronic ankle instability. It can be associated with complications which, if not detected early, can lead to long-term sequelae.
Detailed description
The hypothesis of this study is that ultrasound can better characterize the severity stages of the sprain and can diagnose complications that may have gone unnoticed on physical examination. Patients were assessed clinically: demographics, history, clinical examination, functional scores. An ultrasound and an MRI were done during the first month to check for complications. The main objective is to assess the value of ultrasound in the diagnosis of the severity of the lateral ankle sprain. The secondary objective is to compare an ultrasound assessment of severity with a clinical assessment and Magnetic Resonance Imaging (MRI).
Interventions
Collect data of medical record: initial physical examination, ultrasound (US), Magnetic Resonance Imaging (MRI), physical examination at 30 days, physical examination at 3 months, physical examination at 6 months and final examination at 12 months.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* First ankle sprain with sport or work disability
Exclusion criteria
* Patient with fractures, dislocation or hyperlaxity * Previous ankle sprain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severity score by ultrasound (US) assesment | Day: 14 after Ankle Sprain. | Collected in medical record. This system utilises a classification that is based on injury severity related to the amount of tissue damage and associated functional loss. It categorises muscle injuries into three grades, ranging from grade 1 with no appreciable tissue tear, grade 2 with tissue damage and reduced strength of the musculotendinous unit and grade 3 with complete tear of musculotendinous unit and complete loss of function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity score by Magnetic Resonance Imaging (MRI) assesment | Day: 14 after Ankle Sprain. | Collected in medical record. This system utilises a classification that is based on injury severity related to the amount of tissue damage and associated functional loss. It categorises muscle injuries into three grades, ranging from grade 1 with no appreciable tissue tear, grade 2 with tissue damage and reduced strength of the musculotendinous unit and grade 3 with complete tear of musculotendinous unit and complete loss of function |
| Severity score by radiologist assesment | Day: 30, 90, 180, 365 after Ankle Sprain. | Collected in medical record. Empirical score : low, mild, severe |
Countries
France
Contacts
Primary ContactThomas NERI, MD
Backup ContactDavy VEYRE, resident
Outcome results
None listed