Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players

Miriam T Leiderer; Goetz H Welsch; Isabel Molwitz; Kai-Jonathan Maas; Gerhard Adam; Peter Bannas; Frank Oliver Henes

doi:10.1016/j.ejrad.2020.109491

Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players

Standard

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, Vol. 135, 109491, 02.2021.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Leiderer, MT, Welsch, GH, Molwitz, I, Maas, K-J, Adam, G , Bannas, P & Henes, FO 2021, 'Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players', EUR J RADIOL, vol. 135, 109491. https://doi.org/10.1016/j.ejrad.2020.109491

APA

Leiderer, M. T., Welsch, G. H., Molwitz, I., Maas, K-J., Adam, G., Bannas, P., & Henes, F. O. (2021). Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players. EUR J RADIOL, 135, [109491]. https://doi.org/10.1016/j.ejrad.2020.109491

Vancouver

Leiderer MT, Welsch GH, Molwitz I, Maas K-J, Adam G , Bannas P et al. Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players. EUR J RADIOL. 2021 Feb;135. 109491. https://doi.org/10.1016/j.ejrad.2020.109491

Bibtex

@article{599efe1c8d444bea91f65846a7179b13,

title = "Magnetic resonance imaging of midtarsal sprain: Prevalence and impact on the time of return to play in professional soccer players",

abstract = "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.",

author = "Leiderer, {Miriam T} and Welsch, {Goetz H} and Isabel Molwitz and Kai-Jonathan Maas and Gerhard Adam and Peter Bannas and Henes, {Frank Oliver}",

year = "2021",

month = feb,

doi = "10.1016/j.ejrad.2020.109491",

language = "English",

volume = "135",

journal = "EUR J RADIOL",

issn = "0720-048X",

publisher = "Elsevier",

}

RIS

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

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 -