Ultrasound Imaging in Football Players with Previous Multiple Ankle Sprains: Keeping a Close Eye on Superior Ankle Retinaculum
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Published:2024-04-25
Issue:5
Volume:11
Page:419
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ISSN:2306-5354
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Container-title:Bioengineering
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language:en
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Short-container-title:Bioengineering
Author:
Pirri Carmelo1ORCID, Pirri Nina2, Guidolin Diego1ORCID, Macchi Veronica1ORCID, Porzionato Andrea1, De Caro Raffaele1ORCID, Stecco Carla1ORCID
Affiliation:
1. Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy 2. Department of Medicine—DIMED, School of Radiology, Radiology Institute, University of Padova, 35121 Padova, Italy
Abstract
The superior extensor ankle retinaculum (SEAR), a transversely fascial thickening positioned above the tibia–talar joint, serves as a crucial anatomical structure in ankle stability. The purpose of this study was to measure and compare by ultrasound (US) imaging the bilateral thickness and echogenicity of SEAR in football players with previous multiple ankle sprains (group 1) and healthy volunteers (group 2). A cross-sectional study was performed using ultrasound imaging to measure longitudinal and transversal axes using a new protocol in a sample of 50 subjects: 25 football players with previous multiple ankle sprains and 25 healthy subjects. The findings for SEAR thickness revealed statistically significant differences for both axes (p = 0.0011 and p = 0.0032) between the healthy side and the previously sprained side, and with the corresponding side of group 2 (p = 0.003 and p = 0.004). Moreover, in group 1, regarding the ROI echogenicity, a statistically significant difference was found between the sides (p = 0.0378). These findings suggest that the football players with previous ankle sprains showed a thicker and inhomogeneous SEAR on the sprain side, unveiling a remodeling of this structure compared to the other side and to the healthy volunteers. In these athletes, during US examination, one needs to keep “a US eye” on side-to-side SEAR comparisons.
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