Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain

Primary tabs

SCIENCE
Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain
Key Take-Away: 

Previous studies indicate that patients with ankle sprains can develop osteoarthritis in the future. This study focused on determining the correlation between patient history, physical examination and early osteoarthritis (OA) and estimated that there exists an association between patients physical examination characteristics like pain at the end of plantar flexion, reduced range of motion (ROM) in talocrural joint (TCJ) and talonavicular joint (TNJ), swelling and osteoarthritis.

Introduction:

After an ankle sprain, the structural abnormalities are frequent on MRI. This study determined the association of patient history, physical examination with early osteoarthritis (OA) in patients after an ankle sprain.

 

Methods:

From a cross-sectional study, a total of ninety-eight patients with persistent complaints were selected. Patient history was collected and physical examination was conducted, followed by MRI scans. Univariate and multivariable analyses were applied to test possible associations. Signs of OA, i.e., cartilage loss, bone marrow edema, and osteophytes were detected in TCJ in 40% and TNJ in 49%.

 

Results:

Multivariable analysis revealed a significant positive association between swelling (OR 3.58, 95%CI 1.13;11.4), bone edema in the TCJ and a difference in ROM of passive plantar flexion (OR 1.09, 95%CI 1.01;1.18). Also, the pain at the end range of dorsiflexion/plantar flexion (OR 5.23, 95%CI 1.88;14.58) and a difference in ROM of passive plantar flexion (OR 1.07, 95%CI 1.00;1.15) have the association with osteophytes in the TNJ.

 

Conclusion:

Pain arising at the end of dorsiflexion/plantar flexion, a difference in range of motion of passive plantar flexion and swelling found to be associated with features of OA (bone marrow edema, osteophytes) in the TCJ and TNJ. The study findings could guide physicians to predict structural joint abnormalities for assessment of OA.

Source:

Int J Sports Med. 2017 Jul 24

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/28738428

Original title of article:

Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain.

Authors:

Van Ochten JM et al.

Exploratory, Osteoarthritis, Ankle, Review
Log in or register to post comments