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Comparative analysis of ultrasound and magnetic resonance imaging in diagnosing pain in the posterolateral region of the ankle Cover

Comparative analysis of ultrasound and magnetic resonance imaging in diagnosing pain in the posterolateral region of the ankle

Journal of Ultrasonography
Volume 25 (2025): Issue 100 (January 2025)
By: Dan Mocanu,  Katarzyna Bokwa-Dąbrowska,  Katarina Nilsson Helander and  Pawel Szaro  
Open Access
|Jan 2025

Figures & Tables

Fig. 1.

True positive finding on ultrasound. A 49-year-old patient with pain posterior to the left lateral malleolus for 9 months. A. Ultrasound (transverse crosssection at the level of the lateral malleolus marked with ‘f ’) revealed a peroneus brevis split rupture. B. MRI conducted 6 months after the ultrasound confirmed the peroneus brevis split rupture (proton density-weighted image with fat suppression). Straight arrows indicate the peroneus brevis split rupture, the dashed arrow points to the normal peroneus longus, and the curved arrow indicates the superior peroneal retinaculum
True positive finding on ultrasound. A 49-year-old patient with pain posterior to the left lateral malleolus for 9 months. A. Ultrasound (transverse crosssection at the level of the lateral malleolus marked with ‘f ’) revealed a peroneus brevis split rupture. B. MRI conducted 6 months after the ultrasound confirmed the peroneus brevis split rupture (proton density-weighted image with fat suppression). Straight arrows indicate the peroneus brevis split rupture, the dashed arrow points to the normal peroneus longus, and the curved arrow indicates the superior peroneal retinaculum

Fig. 2.

True positive finding on ultrasound. A 45-year-old patient with pain posterior to the right lateral malleolus for 8 months. Ultrasound (transverse cross-sectional) revealed a peroneus brevis split rupture at the level of the lower half of the lateral malleolus (A). MRI conducted 3 months after the ultrasound confirmed the peroneus brevis split rupture (B. proton density-weighted image with fat suppression). Straight arrows indicate the peroneus brevis split rupture, the dashed arrow points to the peroneus longus, and ‘f ’ shows the lateral malleolus. P brev and p longus refer to the peroneus brevis and peroneus longus
True positive finding on ultrasound. A 45-year-old patient with pain posterior to the right lateral malleolus for 8 months. Ultrasound (transverse cross-sectional) revealed a peroneus brevis split rupture at the level of the lower half of the lateral malleolus (A). MRI conducted 3 months after the ultrasound confirmed the peroneus brevis split rupture (B. proton density-weighted image with fat suppression). Straight arrows indicate the peroneus brevis split rupture, the dashed arrow points to the peroneus longus, and ‘f ’ shows the lateral malleolus. P brev and p longus refer to the peroneus brevis and peroneus longus

Fig. 3.

Receiver operating characteristic (ROC) curve in the study
Receiver operating characteristic (ROC) curve in the study

Diagnostic test evaluation

StatisticValue95% CI
Sensitivity40.00%16.34% to 67.71%
Specificity85.42%72.24% to 93.93%
Positive likelihood ratio2.741.09 to 6.91
Negative likelihood ratio0.700.46 to 1.08
Disease prevalence*23.81%13.98% to 36.21%
Positive predictive value*46.15%25.39% to 68.34%
Negative predictive value*82.00%74.78% to 87.50%
Accuracy*74.60%62.06% to 84.73%
DOI: https://doi.org/10.15557/JoU.2025.0002 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
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Language: English
Submitted on: Jun 10, 2024
|
Accepted on: Aug 26, 2024
|
Published on: Jan 23, 2025
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
ultrasound,
magnetic resonance imaging,
tendon,
injury,
ankle
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other

© 2025 Dan Mocanu, Katarzyna Bokwa-Dąbrowska, Katarina Nilsson Helander, Pawel Szaro, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 25 (2025): Issue 100 (January 2025)