WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster - 201

Acute ankle sprains in children. How to assess ankle instability?

Andrey Sapogovskiy
H.Turner National Medical Research Center for Сhildren's Orthopedics and Trauma Surgery

Introduction: Ankle ligament sprains and tears are among the most common injuries. Some patients may develop chronic ankle instability.

Objective: To develop a method for assessing ankle joint stability.

Materials and Methods: We developed a method for evaluating ankle stability after ligament injuries using dynamic ultrasonography. A comparative assessment of ankle instability was performed in 28 patients (30 feet) using functional radiography and the new method.

Results: The study demonstrated 94% sensitivity and 88% specificity. An inter-rater reliability analysis of this method yielded an ICC of 0.8.

Conclusion: The new ankle stability assessment method allows for the detection of post-traumatic instability and differentiation between ligament sprains and tears. The use of this new diagnostic technique may reduce the incidence of post-traumatic ankle instability.

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