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To evaluate the relationship within patient history, physical examination and early osteoarthritis (OA) following a previous ankle sprain.
Several previous
studies indicate that patients who suffer from ankle sprains can develop
osteoarthritis in future. These study results affirm that there exists an
association between patients physical examination characteristics like pain at
end of plantar flexion, reduced range of motion (ROM) in TCJ and TNJ, swelling
and osteoarthritis.
To
evaluate the relationship within patient history, physical examination and
early osteoarthritis (OA) following a previous ankle sprain.
A
total of 98 participants were involved in the sudy. MRI, patient history and
physical examination were carried out. The relationship was found using the
univariate and multivariable analyses. Forty percent of the signs of OA
exhibited in the talocrural joint (TCJ) and 49% in the talonavicular joint
(TNJ).
Multivariable
analysis exhibited a considerable positive relationship between swelling, bone
edema, and a variation in ROM of passive plantar flexion in the TCJ. The pain
at the end range of dorsiflexion/plantar flexion and a variation in ROM of
passive plantar flexion had correlation with osteophytes in the TNJ.
A
variation in ROM of passive plantar flexion, swelling and pain at the end of
dorsiflexion/plantar flexion seem to be correlated with characteristics of OA
in the TCJ and TNJ. These outcomes may advise doctors to predict structural
joint abnormalities as manifestations of osteoarthritis.
Int J Sports Med. 2017 Jul 24
Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain.
Van Ochten JM et al.
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