临床小儿外科杂志2024，Vol.23Issue(11)：1015-1018,4.DOI:10.3760/cma.j.cn101785-202409026-003
肌骨超声在儿童急性踝关节扭伤中的应用
Application of musculoskeletal ultrasound in acute lateral ankle sprain in children
摘要
Abstract
Objective To preliminarily explore the reliability of musculoskeletal ultrasound in evaluating acute lateral ankle sprain in children.Methods This retrospective study included 57 children with acute an-kle sprains who were treated at Wuhan Children's Hospital between October 2023 and August 2024.All patients underwent clinical ankle stability tests,musculoskeletal ultrasound of the ankle,standard X-ray of the ankle in anterior-posterior and lateral views,and ankle MRI.Musculoskeletal ultrasound primarily assessed avulsion frac-tures of the lateral malleolus,and the integrity of the anterior talofibular and calcaneofibular ligaments.Using MRI as the gold standard,the reliability of clinical stability tests,musculoskeletal ultrasound,and standard X-rays were compared.Results The sensitivity and specificity of the clinical stability test in assessing lateral an-kle ligament injury were 81％(17/21)and 53％(19/36),respectively.Musculoskeletal ultrasound had a sensi-tivity of 95％(20/21)and specificity of 94％(34/36)for assessing anterior talofibular ligament injury,a sensi-tivity of 80％(4/5)and specificity of 98％(51/52)for calcaneofibular ligament injury,and a sensitivity of 96％(27/28)and specificity of 83％(24/29)for lateral malleolus avulsion fractures.Standard X-ray had a sensitivity of 39％(11/28)and specificity of 100％(29/29)in detecting lateral malleolus fractures.Conclusions Mus-culoskeletal ultrasound can accurately detect cartilaginous avulsion fractures of the lateral malleolus that may be missed by X-rays,as well as injuries to the lateral ankle ligaments.As a reliable,accurate,and radiation-free ima-ging method,musculoskeletal ultrasound can be used for early diagnosis of acute ankle sprains in children.关键词
超声/韧带损伤/骨折/外科手术/儿童Key words
Ultrasound/Ligament Injury/Fracture/Surgical Procedures,Operative/Child引用本文复制引用
李雄涛,孙杰,王思,顾曜隆,沈先涛..肌骨超声在儿童急性踝关节扭伤中的应用[J].临床小儿外科杂志,2024,23(11):1015-1018,4.基金项目
武汉市卫健委科研项目(WX23A10) （WX23A10）
武汉儿童医院"腾飞计划"临床研究类项目(2023TFJH01) Scientific Research Projects of Wuhan Municipal Health Commission(WX23A10) （2023TFJH01）
Soar-ing Plan of Youth Talent Development at Wuhan Children's Hospital(2023TFJH01) （2023TFJH01）
