Ultasound guided management of ankle sprain


  • Mattam Sanjay Associate Professor, MNR Medical College, Sangareddy, Telangana, India
  • Babulreddy Bommireddy Assistant Professor, MNR Medical College, Sangareddy, Telangana, India
  • Matapathi Umamahesh Consultant Radiologist, Yashoda Hospital, Hyderabad, Telangana, India




Lateral ankle sprain, Sprained ankle syndrome, Ultrasonogram


Background: Ankle sprain accounts for 15-20% of sports injuries. They are complex injuries and studies that better delineate the etiology are needed. The accuracy of ultrasound as a diagnostic modality of ankle sprain is comparable to MRI.  In this study we evaluated the use of ultrasound in delineating the grade of sprain, with special emphasis of grade 2 sprains.

Methods: We prospectively studied 80 ankle sprains of over two years. All the patients with features of ankle sprain were evaluated with high frequency ultrasound. Grade 1 & 2 sprains were included in the study. All the patients were followed up for 1 year. Grade 2 sprains were treated with cast for 6 weeks and evaluated for any residual symptoms and chronicity.

Results: There were 51 males and 29 females with right ankle injured in 57 patients. Seventy-three patients were injured during their leisure activities and 7 were sports injuries. According to ultrasound grading, there were 58 grade 1 injuries, 22 being grade 2 sprain. All the patients were followed up till 1 year. At the end of one year, 79 patients were recovered well with no residual symptoms.

Conclusions: Ultrasonogram effectively differentiates grade 1 from grade 2 and gives a clue for further management. Therefore, we recommend routine use of ultrasonogram for every ankle sprain. For grade 2 sprains, rigid immobilization for 6 weeks gives excellent results with no residual symptoms.

Author Biographies

Mattam Sanjay, Associate Professor, MNR Medical College, Sangareddy, Telangana, India

Associate Professor, Department of orthopaedics

Babulreddy Bommireddy, Assistant Professor, MNR Medical College, Sangareddy, Telangana, India

Assistant Professor, Dept. of Orthopaedics

Matapathi Umamahesh, Consultant Radiologist, Yashoda Hospital, Hyderabad, Telangana, India

Consultant radiologist


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Original Research Articles