Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study
ABSTRACT Background and Aims Following an ankle sprain, clinical examination often reveals ankle dorsiflexion pain, which has been implicated as a risk factor for recurrent ankle sprains; however, the mechanism of ankle dorsiflexion pain has not been explored. Using magnetic resonance imaging (MRI),...
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Wiley
2025-03-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70550 |
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| author | Takeshi Toyooka Eiki Tsushima Shiro Sugiura Yukio Matsushita Akito Takata Yasutaka Omori Yuzuru Okamoto Satoru Nishikawa |
| author_facet | Takeshi Toyooka Eiki Tsushima Shiro Sugiura Yukio Matsushita Akito Takata Yasutaka Omori Yuzuru Okamoto Satoru Nishikawa |
| author_sort | Takeshi Toyooka |
| collection | DOAJ |
| description | ABSTRACT Background and Aims Following an ankle sprain, clinical examination often reveals ankle dorsiflexion pain, which has been implicated as a risk factor for recurrent ankle sprains; however, the mechanism of ankle dorsiflexion pain has not been explored. Using magnetic resonance imaging (MRI), we evaluated the relationship between the limited dorsiflexion range of motion due to pain and the position of the talus. We investigated whether an anterior talofibular ligament (ATFL) tear affected ankle dorsiflexion. Methods We reviewed 36 medical records and MRI images of outpatients diagnosed with a lateral ankle sprain. The data recorded were weight‐bearing lunge test (WBLT), talus alignment, and ATFL tear. Weight‐bearing lunge test differences (WBLTD) between the affected and unaffected sides were calculated. Talus alignment was defined on MRI as the extent of anterior displacement from the posterior lip of the tibia to the nearest articular surface of the talus (distance). Spearman's rank correlation coefficient was used to analyze the relationships between WBLTD and distance. Next, we divided the patients into two groups based on the ATFL tear and compared the WBLTD and distance using the Mann–Whitney U test. Results The mean and standard deviation for distance and WBLTD were 0.9 ± 0.9 and 3.5 ± 2.8, respectively. Spearman's rank correlation coefficient between distance and WBLTD was 0.48 (p = 0.003). There was no significant difference between tear or no‐tear of the ATFL with WBLTD and distance, respectively. Conclusion Anterior deviation of the talus positively correlated with dorsiflexion range of motion. Our study highlighted that the talus might have an anterior deviation in the unstressed position. However, the ATFL tear's effects on talar displacement and dorsiflexion angle were unknown. |
| format | Article |
| id | doaj-art-ca35ae150666443f8cb2da1518fea6c3 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-ca35ae150666443f8cb2da1518fea6c32025-08-20T03:42:22ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70550Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional StudyTakeshi Toyooka0Eiki Tsushima1Shiro Sugiura2Yukio Matsushita3Akito Takata4Yasutaka Omori5Yuzuru Okamoto6Satoru Nishikawa7Department of Rehabilitation Nishikawa Orthopedic Clinic Sakura JapanGraduate School of Health Sciences Hirosaki University Hirosaki JapanDepartment of Rehabilitation Nishikawa Orthopedic Clinic Sakura JapanDepartment of Radiology Nishikawa Orthopedic Clinic Sakura JapanDepartment of Rehabilitation Nishikawa Orthopedic Clinic Sakura JapanDepartment of Rehabilitation Nishikawa Orthopedic Clinic Sakura JapanNishikawa Orthopedic Clinic Sakura JapanNishikawa Orthopedic Clinic Sakura JapanABSTRACT Background and Aims Following an ankle sprain, clinical examination often reveals ankle dorsiflexion pain, which has been implicated as a risk factor for recurrent ankle sprains; however, the mechanism of ankle dorsiflexion pain has not been explored. Using magnetic resonance imaging (MRI), we evaluated the relationship between the limited dorsiflexion range of motion due to pain and the position of the talus. We investigated whether an anterior talofibular ligament (ATFL) tear affected ankle dorsiflexion. Methods We reviewed 36 medical records and MRI images of outpatients diagnosed with a lateral ankle sprain. The data recorded were weight‐bearing lunge test (WBLT), talus alignment, and ATFL tear. Weight‐bearing lunge test differences (WBLTD) between the affected and unaffected sides were calculated. Talus alignment was defined on MRI as the extent of anterior displacement from the posterior lip of the tibia to the nearest articular surface of the talus (distance). Spearman's rank correlation coefficient was used to analyze the relationships between WBLTD and distance. Next, we divided the patients into two groups based on the ATFL tear and compared the WBLTD and distance using the Mann–Whitney U test. Results The mean and standard deviation for distance and WBLTD were 0.9 ± 0.9 and 3.5 ± 2.8, respectively. Spearman's rank correlation coefficient between distance and WBLTD was 0.48 (p = 0.003). There was no significant difference between tear or no‐tear of the ATFL with WBLTD and distance, respectively. Conclusion Anterior deviation of the talus positively correlated with dorsiflexion range of motion. Our study highlighted that the talus might have an anterior deviation in the unstressed position. However, the ATFL tear's effects on talar displacement and dorsiflexion angle were unknown.https://doi.org/10.1002/hsr2.70550ankle dorsiflexion range of motionlateral ankle sprainmagnetic resonance imagingtalus alignment |
| spellingShingle | Takeshi Toyooka Eiki Tsushima Shiro Sugiura Yukio Matsushita Akito Takata Yasutaka Omori Yuzuru Okamoto Satoru Nishikawa Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study Health Science Reports ankle dorsiflexion range of motion lateral ankle sprain magnetic resonance imaging talus alignment |
| title | Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study |
| title_full | Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study |
| title_fullStr | Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study |
| title_full_unstemmed | Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study |
| title_short | Talus Position Correlates With Dorsiflexion Range of Motion Following a Lateral Ankle Sprain: A Cross‐Sectional Study |
| title_sort | talus position correlates with dorsiflexion range of motion following a lateral ankle sprain a cross sectional study |
| topic | ankle dorsiflexion range of motion lateral ankle sprain magnetic resonance imaging talus alignment |
| url | https://doi.org/10.1002/hsr2.70550 |
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