Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players
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Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players. / Leiderer, Miriam T; Welsch, Goetz H; Molwitz, Isabel; Maas, Kai-Jonathan; Adam, Gerhard; Bannas, Peter; Henes, Frank Oliver.
in: EUR J RADIOL, Jahrgang 135, 109491, 02.2021.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players
AU - Leiderer, Miriam T
AU - Welsch, Goetz H
AU - Molwitz, Isabel
AU - Maas, Kai-Jonathan
AU - Adam, Gerhard
AU - Bannas, Peter
AU - Henes, Frank Oliver
N1 - Copyright © 2020 Elsevier B.V. All rights reserved.
PY - 2021/2
Y1 - 2021/2
N2 - BACKGROUND: Ankle sprain is a common injury in professional soccer, but to date midtarsal sprain has not been investigated in this context. The purpose of this study was to determine the prevalence of midtarsal sprain by MRI and to assess its impact on the time of return to play in professional soccer players.METHODS: We included 52 professional soccer players who underwent 59 MRI examinations after acute ankle trauma between January 2012 and September 2019. Images were retrospectively reviewed in consensus by two radiologists for assessment of midtarsal sprain and ankle sprain. Ligaments were graded as i) normal, ii) partial tear, or iii) complete tear. Time to return to play (RTP) for each athlete was retrieved from team medical records. A Kruskal-Wallis test and Dunn's pairwise tests were used to calculate differences in RTP time between groups with i) isolated midtarsal sprain, ii) isolated lateral ankle sprain, and iii) combined midtarsal and lateral ankle sprain.RESULTS: MRI revealed isolated ankle sprain in 24 of 59 MRI examinations (40.6 %). Acute midtarsal ligament injury was present in 15 examinations (25.4 %). Four of the 15 examinations (26.7 %) had isolated midtarsal injuries and eleven of the 15 examinations (73.3 %) had concomitant ankle sprain. RTP time was 39 days (range 9-70 days) for isolated midtarsal sprain. RTP time was significantly higher for athletes with combined ankle and midtarsal sprain (47 days, range 15-74 days) when compared to athletes with isolated ankle sprain (24 days, range 2-59 days) (p = .019).CONCLUSION: Our MRI study reveals that midtarsal sprain is a frequent injury in professional soccer players with ankle sprain. Midtarsal ligament findings on MRI combined with evidence of lateral ankle sprain is associated with a longer time of return to play compared to isolated lateral ligament injuries.LEVEL OF EVIDENCE: Retrospective study, observational study.
AB - BACKGROUND: Ankle sprain is a common injury in professional soccer, but to date midtarsal sprain has not been investigated in this context. The purpose of this study was to determine the prevalence of midtarsal sprain by MRI and to assess its impact on the time of return to play in professional soccer players.METHODS: We included 52 professional soccer players who underwent 59 MRI examinations after acute ankle trauma between January 2012 and September 2019. Images were retrospectively reviewed in consensus by two radiologists for assessment of midtarsal sprain and ankle sprain. Ligaments were graded as i) normal, ii) partial tear, or iii) complete tear. Time to return to play (RTP) for each athlete was retrieved from team medical records. A Kruskal-Wallis test and Dunn's pairwise tests were used to calculate differences in RTP time between groups with i) isolated midtarsal sprain, ii) isolated lateral ankle sprain, and iii) combined midtarsal and lateral ankle sprain.RESULTS: MRI revealed isolated ankle sprain in 24 of 59 MRI examinations (40.6 %). Acute midtarsal ligament injury was present in 15 examinations (25.4 %). Four of the 15 examinations (26.7 %) had isolated midtarsal injuries and eleven of the 15 examinations (73.3 %) had concomitant ankle sprain. RTP time was 39 days (range 9-70 days) for isolated midtarsal sprain. RTP time was significantly higher for athletes with combined ankle and midtarsal sprain (47 days, range 15-74 days) when compared to athletes with isolated ankle sprain (24 days, range 2-59 days) (p = .019).CONCLUSION: Our MRI study reveals that midtarsal sprain is a frequent injury in professional soccer players with ankle sprain. Midtarsal ligament findings on MRI combined with evidence of lateral ankle sprain is associated with a longer time of return to play compared to isolated lateral ligament injuries.LEVEL OF EVIDENCE: Retrospective study, observational study.
U2 - 10.1016/j.ejrad.2020.109491
DO - 10.1016/j.ejrad.2020.109491
M3 - SCORING: Journal article
C2 - 33360826
VL - 135
JO - EUR J RADIOL
JF - EUR J RADIOL
SN - 0720-048X
M1 - 109491
ER -