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Assessing Lateral Ankle Sprains With a New Arthrometer.
Nicholas R Taweel1, Dawn T Gulick2, Kerstin M Palombaro2
1Rothman Orthopaedics, Philadelphia, Pennsylvania.
Ankle arthrometers objectively measure joint laxity in ankle sprains, showing significant differences in anterior translation between healthy and injured ankles. This device aids in assessing injury severity and recovery progress.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Lateral ankle sprains are common injuries.
- Objective assessment of joint laxity is needed.
- Ankle arthrometers offer a simple, affordable solution.
Purpose of the Study:
- To evaluate the efficacy of an ankle arthrometer.
- To assess ankle joint laxity in individuals with ankle sprains.
Main Methods:
- Ankle arthrometer used for anterior drawer test in prone position.
- Evaluated uninjured, grade 1, and grade 2 ankle sprains (10 participants each).
- Clinicians blinded to each other's data.
Main Results:
- Significant differences in anterior translation found between all groups (P < .001 for control vs. I and II; P = .004 for I vs. II).
- Mean anterior translation differences: ±0.31 mm (healthy), 1.11 mm (grade 1), 2.16 mm (grade 2).
- Study supports using injured/uninjured ratio for objective laxity measurement.
Conclusions:
- Ankle arthrometer provides objective joint laxity assessment.
- Enhances patient evaluation throughout recovery.
- Mitigates variability by comparing to the individual's healthy ankle.
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