Real-time shear wave elastography examination for evaluation of acute closed lateral collateral ankle ligament injury

doi:10.3877/cma.j.issn.1672-6448.2019.11.004

Abstract

Abstract:

Objective

To investigate the clinical value of real-time shear wave elastography (SWE) in the evaluation of acute lateral collateral ankle ligament injury.

Methods

Totally 50 patients with acute lateral collateral ankle ligament injury underwent high-frequency ultrasound and real-time SWE examinations. The Young's modulus and shear wave velocity (SWV) of the ligament were compared among subjects with complete rupture of the ligament, incomplete rupture of the ligament, and normal ligament.

Results

Both surgery and high-frequency ultrasound examination revealed complete rupture of the ligament in 20 cases. Nineteen cases of incomplete rupture of the ligament were confirmed by magnetic resonance imaging (MRI), of which five were misdiagnosed by ultrasound. Forty cases of contusion rupture of the ligament were confirmed by MRI. Young's modulus and SWV differed significantly among the complete, incomplete, and contusion rupture of the ligament and normal ligament (P<0.05) and between any of two groups except between the contusion rupture of the ligament and normal ligament.

Conclusion

Real-time SWE can be used as an effective supplement for high-frequency ultrasound in the diagnosis of lateral collateral ankle ligament rupture.

Key words: Shear wave elastography, Lateral collateral ankle ligament, Wound and injury, Ultrasonography

Shuo Li, Ruijun Guo. Real-time shear wave elastography examination for evaluation of acute closed lateral collateral ankle ligament injury[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(11): 815-820.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2019.11.004

https://chaosheng.cma-cmc.com.cn/EN/Y2019/V16/I11/815

Figures/Tables 6

References 23

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组别	例数	杨氏模量值（kPa）	SWV（m/s）
完全断裂组	21	41.86±14.85	3.68±0.67
部分断裂组	19	54.95±12.48	4.25±0.52
挫伤组	40	86.03±28.17^ac	5.28±0.90^ac
正常组	100	158.29±61.98^bde	7.13±1.39^bde
F值	?	56.147	73.539
P值	?	<0.001	<0.001

组别	例数	杨氏模量值（kPa）	SWV（m/s）
完全断裂组	21	41.86±14.85	3.68±0.67
部分断裂组	19	54.95±12.48	4.25±0.52
挫伤组	40	86.03±28.17^ac	5.28±0.90^ac
正常组	100	158.29±61.98^bde	7.13±1.39^bde
F值	?	56.147	73.539
P值	?	<0.001	<0.001

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