Evaluation of Articular Cartilage Injury Using Computed Tomography With Axial Traction in the Ankle Joint

Foot & Ankle International
Tomoyuki NakasaNobuo Adachi

Abstract

Although chondral or osteochondral injuries are usually assessed by magnetic resonance imaging, its accuracy can be low, presumably related to the relatively thin cartilage layer and the close apposition of the cartilage of the talus and tibial plafond. We hypothesized that axial traction could provide a contrast between the articular cartilage and joint cavity, and it enabled the simultaneous evaluation of cartilage and subchondral bone. The purpose of this study was to assess the feasibility of using computed tomography (CT) imaging with axial traction for the diagnosis of articular cartilage injuries. Chondral lesions in 18 ankles were evaluated by CT with axial traction using a tensioning device and ankle strap for enlargement of the joint space of the ankle. CT was done in 3-mm slices and programmed for gray scale, and then CT images were allocated colors to make it easier to evaluate the cartilage layer. The International Cartilage Repair Society (ICRS) grades on CT were compared with those on arthroscopic findings. The respective sensitivity and specificity of CT imaging with traction using ICRS grading were 74.4%, and 96.3%. The level of agreement of the ICRS grading between CT images and arthroscopic findings was moder...Continue Reading

References

Feb 1, 1997·Seminars in Arthritis and Rheumatism·K HuchP Dieppe
Jul 8, 1999·Foot & Ankle International·M TakaoK Kawasaki
Jul 31, 2002·Foot & Ankle International·Carl ShearerDoug Clement
May 2, 2003·The Journal of Bone and Joint Surgery. American Volume·Mats Brittberg, Carl S Winalski
Jun 13, 2006·Foot & Ankle International·Thomas E BaerCharles L Saltzman
Jun 17, 2006·Journal of Computer Assisted Tomography·Tomoyuki NakasaMitsuo Ochi
Sep 10, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Keun-Bae LeeTaek-Rim Yoon
Feb 2, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Henning MadryMagdalena Mueller-Gerbl
Feb 4, 2010·The Journal of Bone and Joint Surgery. American Volume·Sjoerd A StufkensBeat Hintermann
Feb 9, 2011·The American Journal of Sports Medicine·André LeumannGeert I Pagenstert
Jul 28, 2012·Foot & Ankle International·Walter C HembreeMark E Easley
Dec 6, 2012·Seminars in Musculoskeletal Radiology·Victoria L JohnsonDavid J Hunter
Feb 7, 2017·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tim DwyerJohn Theodoropoulos
May 16, 2017·AJR. American Journal of Roentgenology·Marwen EidU Joseph Schoepf
Jul 15, 2017·AJR. American Journal of Roentgenology·Ryan Ka Lok LeeDavid K W Yeung

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