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Eur Radiol. 2018 Oct;28(10):4151-4162. doi: 10.1007/s00330-018-5390-6. Epub 2018 Apr 17.

Comparison of T2 Relaxation Values in Subtalar Cartilage between Patients with Lateral Instability of the Ankle Joint and Healthy Volunteers.

Author information

1
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-gu, Seoul, 135-710, Republic of Korea.
2
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-gu, Seoul, 135-710, Republic of Korea. youngcheol.yoon@gmail.com.
3
Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Korea. youngcheol.yoon@gmail.com.
4
Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
5
Statistics and Data Center, Samsung Medical Center, Seoul, Korea.

Abstract

PURPOSE:

To evaluate the difference between T2 relaxation values of the subtalar cartilage in lateral ankle instability patients and healthy volunteers.

MATERIALS AND METHODS:

This institutional review board-approved study included 27 preoperative magnetic resonance imaging (MRI) examinations of 26 patients who underwent Broström operations. Data of previously enrolled healthy volunteers (12 volunteers, 13 MRIs) were used as controls. Two radiologists independently measured T2 values in eight posterior subtalar joint cartilage compartments: central calcaneus anterior (CCA) and posterior (CCP), central talus anterior (CTA) and posterior (CTP), lateral calcaneus anterior (LCA) and posterior (LCP), and lateral talus anterior (LTA) and posterior (LTP). Patient and control values were compared using linear regression analysis. Inter- and intraobserver agreement was calculated.

RESULTS:

Mean T2 values were significantly higher in the patient group in all measurements of subtalar joint cartilage compartments (p < 0.05) except that in LTP (p = 0.085) measured by reviewer 1. Both inter- and intraobserver agreements were excellent.

CONCLUSIONS:

The T2 relaxation values of the subtalar cartilage were significantly higher in lateral ankle instability patients compared with those of controls.

KEY POINTS:

• Subtalar cartilage T2 values are increased in patients with lateral ankle instability. • This trend was demonstrated regardless of the presence of talar dome cartilage lesions. • Inter-and intraobserver agreements were excellent (intraclass coefficient range, 0.765-0.951) in subtalar cartilage T2 mapping.

KEYWORDS:

Lateral instability of the ankle joint; Subtalar joint; T2 relaxation mapping

PMID:
29666996
DOI:
10.1007/s00330-018-5390-6
[Indexed for MEDLINE]

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