Sonographic measurement of instability of the subtalar joint.
A sonographic method of measuring instability of the subtalar joint was developed. After defining reference points, we determined a sonographic fibulo-trochlear angle. This angle was measured in a neutral position and under an inversion stress position. A ratio q representing the relationship between the fibulo-trochlear angle measured in the neutral position and under stress, was determined. The method was tested on volunteers with clinically and radiologically stable subtalar joints and a control group with unstable subtalar joints. The stress radiograph using the Zwipp method was utilized for radiologic correlation. A sonographic ratio q>1.6 correlated with a radiological unstable subtalar joint. The borderline zone in which there was an overlap of stable and unstable subtalar joints was characterized by a q value of 1.2-1.6. A ratio q<1.2 correlated with a stable subtalar joint.
Waldecker
U
U
Blatter
G
G
D002102:Cadaver; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D012016:Reference Values; D012680:Sensitivity and Specificity; D013380:Subtalar Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D014463:Ultrasonography