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The additional value of the stress radiograph and gravity stress radiograph in predicting deep deltoid ligament integrity in isolated distal fibula fractures

Completed
Conditions
ankle fracture
supination external rotation ankle fracture (SER)
10017322
10005944
Registration Number
NL-OMON44487
Lead Sponsor
Haaglanden Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
50
Inclusion Criteria

Acute isolated distal fibula fracture with a MCS <6mm and a MCSAge 18-70 years

Exclusion Criteria

Medial clear space >6mm and/or MCS>SCS+2mm on standard mortise X-ray
Contra-indication for MRI
Mental retardation
No competence of Dutch language
Bi- or trimalleolar ankle fracture

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Positive and negative predictive value of the mortise radiograph, gravity<br /><br>stress, and stress radiograph in predicting an instable isolated Weber B ankle<br /><br>fracture (with MRI as reference standard) </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Inter- and intraobserver variability in determining stability of an ankle<br /><br>fracture on standard mortise radiograph, gravity stress and stress radiograph.<br /><br>Intrinsic variables are age, sex, and medical history. Based on the inital<br /><br>radiograph at the ER , the dislocation will be scored, together with the<br /><br>AO-classification and Laughe-Hansen classification. </p><br>
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