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Incidence and clinical significance of bone bruises after supination injury of the ankle

A DOUBLE-BLIND, PROSPECTIVE STUDY

V. Alanen, MD1; S. Taimela, MD, PhD2; J. Kinnunen, MD, PhD3; S. K. Koskinen, MD, PhD4; and E. Karaharju, MD, PhD1

1 Department of Orthopaedics and Traumatology
2 Unit for Sports and Exercise Medicine, Institute of Biomedicine, University of Helsinki, Leinikkitie 32B, 01350 Vantaa, Finland.
3 Department of Diagnostic Radiology, Töölö Hospital, University of Helsinki, Topeliuksenkatu 5, 00260 Helsin-ki, Finland.
4 Department of Radiology/MRI, Brigham and Women’s Hospital, 75 Francis Street, Boston, Massachusetts 02115, USA.

Correspondence should be sent to Dr V. Alanen.

We used MRI to study a prospective series of 95 patients with inversion injuries of the ankle and no fracture on plain radiographs. We found an incidence of bone bruises of 27%, but these made no difference to the time of return to work, limitation of walking or physical activity, or the clinical outcome scores at three months.

We conclude that bone bruises have very little clinical significance after inversion injuries of the ankle.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General