Ultrasound Int Open 2017; 03(02): E69-E75
DOI: 10.1055/s-0043-105069
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Association Between Years of Experience and Ankle Joint Disorder in Male Student Basketball Players Based on Ultrasonography

Yaeko Fukushima
1   Graduate School of Medicine, Kansai Medical University, Health Science, Osaka, Japan
› Author Affiliations
Further Information

Publication History

received 17 October 2016
revised 16 January 2017

accepted 10 February 2017

Publication Date:
07 June 2017 (online)

Abstract

Purpose The goal of the study was to survey ankle joint disorder in male senior high school and college student basketball players based on the results of an ultrasonographic medical check-up of the ankle joint.

Materials and Methods The subjects were 17 senior high school student and 19 college student basketball players. Ultrasonography, evaluation of ATFL injury, and examination of the talocrural joint region were performed. The subjects were grouped based on the presence or absence of old ATFL injury, and subjects with ATFL injury were classified by the injured region: fibular insertion site, parenchyma, and talar insertion site. The talocrural joint region was evaluated based on the areas of the lateral margin, central region, and medial margin, and sites with an irregular bone contour and osteophyte were counted individually. The questionnaire asked about the patients’ history of ankle injuries.

Results A questionnaire survey revealed that 70–79% of all subjects had experienced a sprain at least once and 21–29% had frequently sprained the left or right foot 10 or more times in the past. On ultrasonography, there was no significant difference in ligament injury or injured site between the senior high school and college students, but the number of osteochondral findings in the talocrural joint region was significantly higher in the college students. In addition, the number of injured sites significantly increased in those with 10 or more years of playing experience.

Conclusion These results suggest that disorder of the talocrural joint region progresses with an increase in years of experience in student basketball players who do not take specific preventive measures against this injury.

 
  • References

  • 1 Garrick JG. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med 1977; 5: 241-242
  • 2 Lewis JE. Ankle arthroscopy and sports-related injuries, Orthopaedic Knowledge Update: Foot and Ankle 2. American Academy of Orthopaedic Surgeons 1998; 39-54
  • 3 Otter SJ. The conservative management of lateral ankle sprains in the athlete. Foot 1999; 9: 12-17
  • 4 Brand RL, Black HM, Cox JS. The natural history of inadequately treated ankle sprains. Am J Sports Med 1977; 5: 248-249
  • 5 Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002; 30: 402-409
  • 6 Lee J, Hamilton G, Ford L. Associated intra-articular ankle pathologies in patients with chronic lateral ankle instability: Arthroscopic findings at the time of lateral ankle reconstruction. Foot Ankle Spec 2011; 4: 284-289
  • 7 McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: Injury rate and risk factors. Br J Sports Med 2001; 35: 103-108
  • 8 Hubbard-Turner T, Turner MJ. Physical Activity Levels in College Students With Chronic Ankle Instability. J Athl Train 2015; 50: 742-747
  • 9 Choi GW, Choi WJ, Youn HK. et al. Osteochondral lesions of the talus are there any differences between osteochondral and chondral types?. The American Journal of Sports Medicine 2014; 14: 1-7
  • 10 Mioka T, Horibe S. Trauma and disorder of the ankle joint frequently noted in basketball players. Journal of Clinical Sports Medicine 2001; 18: 991-996
  • 11 McMurray TR. Footballer’s ankle. J Bone Joint Surg. 1950; 32-B: 68
  • 12 Okabe T. Association between osteophyte in the ankle joint and instability of the lateral ankle joint and osteoarthrosis of the ankle joint in soccer players. Journal of the Chugoku-Shikoku Orthopaedic Association 1991; 3: 99-100
  • 13 Faude O, Junge A, Kindermann W. et al. Risk factors for injuries in elite female soccer players. Br J Sports Med 2006; 40: 785-790
  • 14 Fukushima Y. The relationship between cartilage lesions that were detected by ultrasound and the frequency of ankle sprains among high school basketball players. J JaSOU 2015; 27: 104-109
  • 15 Cheng Y, Cai Y, Wang Y. Value of ultrasonography for detecting chronic injury of the lateral ligaments of the ankle joint compared with ultrasonography findings. Br J Radiol 2014; 87: 20130406
  • 16 Takahashi S. Usefulness of ultrasound for diagnosis of the foot and ankle joint sprain. Journal of Joint Surgery 2014; 33: 52-56
  • 17 Boyce SH, Quigley MA, Campbell S. Management of ankle sprains: A randomized controlled trial of the treatment of inversion injuries using an elastic support bandage or an Aircast ankle brace. Br J Sports Med 2005; 39: 91-96
  • 18 Dick R, Hertel J, Agel J. et al. Descriptive epidemiology of collegiate men’s basketball injuries. National collegiate athletic association injury surveillance system, 1988–1989 through 2003–2004. J Athl Train 2007; 42: 194-201
  • 19 Starkey C. Injuries and illness in the National Basketball Association: A 10-year perspective. J Athl Train 2000; 35: 161-167
  • 20 Deitch JR, Starkey C, Walters SL. et al. Injury risk in professional basketball players: a comparison of women’s National Basketball Association and National Basketball Association athletes. Am J Sports Med 2006; 34: 1007-1083
  • 21 Zelisko JA, Noble HB, Porter M. A comparison of men’s and women’s professional basketball injuries. Am J Sports Med 1982; 10: 297-299
  • 22 Takahashi S. New development for ankle joint ligament injury: Progression of diagnostic technique and its application for treatment. Team doctor & trainer meeting. The Journal of Clinical Sports Medicine 2012; 29: 1155-1158
  • 23 Minagawa Y. Advanced course of orthopedics: Ultrasonographic diagnosis and treatment: Where, what degree, and how. Ankle joint sprain. Clinical Orthopaedic Surgery 2014; 49: 79-87
  • 24 Dabadghav R. Correlation of ankle eversion to inversion strength ratio and static balance in dominant and non-dominant limbs of basketball players. J Sports Med Phys Fitness 2016; 56: 422-427
  • 25 McGuine TA, Greene JJ, Best T, Leverson G. Balance as a predictor of ankle injuries in high school basketball players. Clin J Sports Med 2000; 10: 239-244
  • 26 Wang HK, Chen CH, Shiang TY, Jan MH, Lin KH. Risk-factor analysis of high school basketball-player ankle injuries: a prospective controlled cohort study evaluating postural sway, ankle strength, and flexibility. Arch Phys Med Rehabil 2006; 87: 821-825
  • 27 Wilkerson GB, Pinerola JJ, Caturano RW. Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury. J Orthop Sports Phys Ther 1997; 26: 78-86
  • 28 Baumhauer JF, Alosa DM, Renström AF, Trevino S, Beynnon B. A prospective study of ankle injury risk factors. Am J Sports Med 1995; 23: 564-570
  • 29 Taga I, Shino K, Inoue M, Nakata K, Maeda A. Articular cartilage Lesions in ankles with Lateral ligament injury. Am J Sports Med. 1993; 21: 120-127
  • 30 Schneck CD, Mesgarzadeh M, Bonakdarpour A. MR imaging of the most commonly injured ankle ligaments, part II: Ligaments injuries. Radiology 1992; 184: 507-512
  • 31 Frey C, Bell J, Teresi L, Kerr R, Feder K. A comparison of MRI and clinical examination of acute lateral ankle sprains. Foot Ankle Int 1996; 17: 533-537
  • 32 Kreitner KF, Ferber A, Grebe P, Runkel M, Berger S, Thelen M. Injuries of the lateral collateral ligaments of the ankle: Assessment with MR imaging. Eur Radiol 1999; 9: 519-524
  • 33 Verhagen RA, Maas M, Dijkgraaf MG, Tol JL, Krips R, van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus: is MRI superior to helical CT?. J Bone Joint Surg Br 2005; 87: 41-46
  • 34 Naredo E, Moller I, Moragues C. et al. Inter-observer reliability in musculoskeletal ultrasonography: Results from a “Teach-the-Teachers” rheumatologist course. Ann Rheum Dis 2006; 65: 14-19
  • 35 Geusens E, Pans S, Van Breuseghem I, Brys P. Ultrasound in acute trauma of the ankle and hindfoot. Emerg Radiol 2002; 9: 283-288
  • 36 Guillodo Y, Varache S, Saraux A. Value of ultrasonography for detecting ligament damage in athletes with chronic ankle instability compared to computed arthrotomography. Foot and Ankle specialist 2010; 3: 331-334
  • 37 Badekas T, Takvorian M, Souras N. Treatment principles for osteochondral lesions in foot and ankle. International Orthopaedics 2013; 37: 1697-1706
  • 38 Sonography of ankle ligaments . Philippe Peetrons, Viviane Creteur, Christian Bacq. J Clin Ultrasound 2004; 32: 491-499
  • 39 US in peroneal tendon tear . Lucio Molini, Stefano Bianchi. J Ultrasound 2014; 17: 125-134