Skip to main content

Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis

Publication ,  Journal Article
Chun, DI; Cho, JH; Min, TH; Yi, Y; Park, SY; Kim, KH; Kim, JH; Won, SH
Published in: Journal of Clinical Medicine
July 1, 2019

Misdiagnosis and inadequate treatment of syndesmosis could result in significant long-term morbidity including pain, instability, and degenerative changes of the ankle joint. The objective of this systematic review and meta-analysis was to determine whether radiologic tests accurately and reliably diagnose ankle syndesmosis injury. Medline, Embase, and Cochrane were searched. The database search resulted in 258 full text articles that we assessed for eligibility, we used eight studies that met all the inclusion criteria. In subgroup meta-analysis, the sensitivity analysis showed significant differences only in the MRI (Magnetic Resonance Imaging), and specificity was not statistically significant. In diagnostic meta-analysis, the pooled sensitivity and specificity were 0.528 and 0.984 for X-rays, 0.669 and 0.87 for CT (Computed Tomography), and 0.929 and 0.865 for MRI, all respectively. For sensitivity, MRI showed significantly sensitivity as higher than the other methods, and we detected no significance for specificity. Syndesmosis injuries differed significantly in the accuracy of radiological methods according to the presence of accompanied ankle fractures. In patients with fractures, simple radiography has good specificity, and CT and MRI have high sensitivity and specificity irrespective of fracture; in particular, MRI has similar accuracy to gold standard arthroscopic findings.

Published In

Journal of Clinical Medicine

DOI

EISSN

2077-0383

Publication Date

July 1, 2019

Volume

8

Issue

7

Related Subject Headings

  • 32 Biomedical and clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chun, D. I., Cho, J. H., Min, T. H., Yi, Y., Park, S. Y., Kim, K. H., … Won, S. H. (2019). Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis. Journal of Clinical Medicine, 8(7). https://doi.org/10.3390/jcm8070968
Chun, D. I., J. H. Cho, T. H. Min, Y. Yi, S. Y. Park, K. H. Kim, J. H. Kim, and S. H. Won. “Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis.” Journal of Clinical Medicine 8, no. 7 (July 1, 2019). https://doi.org/10.3390/jcm8070968.
Chun DI, Cho JH, Min TH, Yi Y, Park SY, Kim KH, et al. Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis. Journal of Clinical Medicine. 2019 Jul 1;8(7).
Chun, D. I., et al. “Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis.” Journal of Clinical Medicine, vol. 8, no. 7, July 2019. Scopus, doi:10.3390/jcm8070968.
Chun DI, Cho JH, Min TH, Yi Y, Park SY, Kim KH, Kim JH, Won SH. Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: A systematic review and meta-analysis. Journal of Clinical Medicine. 2019 Jul 1;8(7).

Published In

Journal of Clinical Medicine

DOI

EISSN

2077-0383

Publication Date

July 1, 2019

Volume

8

Issue

7

Related Subject Headings

  • 32 Biomedical and clinical sciences
  • 1103 Clinical Sciences