{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:22:05Z","timestamp":1785799325639,"version":"3.56.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"published-print":{"date-parts":[[2019,11]]},"DOI":"10.1007\/s00330-019-06156-1","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T13:03:54Z","timestamp":1554123834000},"page":"6336-6344","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["MRI of ankle sprain: the association between joint effusion and structural injury severity in a large cohort of athletes"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8582-0793","authenticated-orcid":false,"given":"Michel D.","family":"Crema","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Branislav","family":"Krivokapic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Guermazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Predrag","family":"Gravilovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nebojsa","family":"Popovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"D\u2019Hooghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank W.","family":"Roemer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,4,1]]},"reference":[{"key":"6156_CR1","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.1177\/0363546505275490","volume":"33","author":"BD Beynnon","year":"2005","unstructured":"Beynnon BD, Vacek PM, Murphy D, Alosa D, Paller D (2005) First-time inversion ankle ligament trauma: the effects of sex, level of competition, and sport on the incidence of injury. Am J Sports Med 33:1485\u20131491","journal-title":"Am J Sports Med"},{"key":"6156_CR2","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1055\/s-2005-923382","volume":"9","author":"P Robinson","year":"2005","unstructured":"Robinson P, White LM (2005) The biomechanics and imaging of soccer injuries. Semin Musculoskelet Radiol 9:397\u2013420","journal-title":"Semin Musculoskelet Radiol"},{"key":"6156_CR3","doi-asserted-by":"publisher","first-page":"1930","DOI":"10.1177\/0363546508318047","volume":"36","author":"EE Yard","year":"2008","unstructured":"Yard EE, Schroeder MJ, Fields SK, Collins CL, Comstock RD (2008) The epidemiology of United States high school soccer injuries, 2005-2007. Am J Sports Med 36:1930\u20131937","journal-title":"Am J Sports Med"},{"key":"6156_CR4","doi-asserted-by":"publisher","first-page":"608","DOI":"10.5435\/00124635-200810000-00006","volume":"16","author":"N Maffulli","year":"2008","unstructured":"Maffulli N, Ferran NA (2008) Management of acute and chronic ankle instability. J Am Acad Orthop Surg 16:608\u2013615","journal-title":"J Am Acad Orthop Surg"},{"key":"6156_CR5","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1097\/JSM.0b013e31827d21fe","volume":"23","author":"DM Swenson","year":"2013","unstructured":"Swenson DM, Collins CL, Fields SK, Comstock RD (2013) Epidemiology of U.S. high school sports-related ligamentous ankle injuries, 2005\/06-2010\/11. Clin J Sport Med 23:190\u2013196","journal-title":"Clin J Sport Med"},{"key":"6156_CR6","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1302\/0301-620X.78B6.0780958","volume":"78","author":"CN Dijk van","year":"1996","unstructured":"van Dijk CN, Lim LS, Bossuyt PM, Marti RK (1996) Physical examination is sufficient for the diagnosis of sprained ankles. J Bone Joint Surg Br 78:958\u2013962","journal-title":"J Bone Joint Surg Br"},{"key":"6156_CR7","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1136\/bjsports-2011-090490","volume":"46","author":"GM Kerkhoffs","year":"2012","unstructured":"Kerkhoffs GM, van den Bekerom M, Elders LA et al (2012) Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med 46:854\u2013860","journal-title":"Br J Sports Med"},{"key":"6156_CR8","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1016\/S0196-0644(05)82656-3","volume":"21","author":"IG Stiell","year":"1992","unstructured":"Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR (1992) A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med 21:384\u2013390","journal-title":"Ann Emerg Med"},{"key":"6156_CR9","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1249\/JSR.0b013e3181b7ec0c","volume":"8","author":"CM Press","year":"2009","unstructured":"Press CM, Gupta A, Hutchinson MR (2009) Management of ankle syndesmosis injuries in the athlete. Curr Sports Med Rep 8:228\u2013233","journal-title":"Curr Sports Med Rep"},{"key":"6156_CR10","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1136\/bjsm.37.3.233","volume":"37","author":"C Woods","year":"2003","unstructured":"Woods C, Hawkins R, Hulse M, Hodson A (2003) The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37:233\u2013238","journal-title":"Br J Sports Med"},{"key":"6156_CR11","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1148\/radiol.2017152442","volume":"283","author":"JM Linklater","year":"2017","unstructured":"Linklater JM, Hayter CL, Vu D (2017) Imaging of acute capsuloligamentous sports injuries in the ankle and foot: sports imaging series. Radiology 283:644\u2013662","journal-title":"Radiology"},{"key":"6156_CR12","doi-asserted-by":"publisher","first-page":"1549","DOI":"10.1177\/0363546514529643","volume":"42","author":"FW Roemer","year":"2014","unstructured":"Roemer FW, Jomaah N, Niu J et al (2014) Ligamentous injuries and the risk of associated tissue damage in acute ankle sprains in athletes: a cross-sectional MRI study. Am J Sports Med 42:1549\u20131557","journal-title":"Am J Sports Med"},{"key":"6156_CR13","doi-asserted-by":"publisher","first-page":"831","DOI":"10.7863\/jum.2007.26.6.831","volume":"26","author":"Y Guillodo","year":"2007","unstructured":"Guillodo Y, Riban P, Guennoc X, Dubrana F, Saraux A (2007) Usefulness of ultrasonographic detection of talocrural effusion in ankle sprains. J Ultrasound Med 26:831\u2013836","journal-title":"J Ultrasound Med"},{"key":"6156_CR14","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s00256-009-0767-x","volume":"39","author":"K Oae","year":"2010","unstructured":"Oae K, Takao M, Uchio Y, Ochi M (2010) Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging. Skeletal Radiol 39:41\u201347","journal-title":"Skeletal Radiol"},{"key":"6156_CR15","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1148\/radiology.184.2.1620856","volume":"184","author":"CD Schneck","year":"1992","unstructured":"Schneck CD, Mesgarzadeh M, Bonakdarpour A (1992) MR imaging of the most commonly injured ankle ligaments. Part II. Ligament injuries. Radiology 184:507\u2013512","journal-title":"Radiology"},{"key":"6156_CR16","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s00256-011-1246-8","volume":"41","author":"JF Griffith","year":"2012","unstructured":"Griffith JF, Lau DT, Yeung DK, Wong MW (2012) High-resolution MR imaging of talar osteochondral lesions with new classification. Skeletal Radiol 41:387\u2013399","journal-title":"Skeletal Radiol"},{"key":"6156_CR17","doi-asserted-by":"publisher","first-page":"e1378","DOI":"10.3928\/01477447-20131021-18","volume":"36","author":"DC Osbahr","year":"2013","unstructured":"Osbahr DC, Drakos MC, O\u2019Loughlin PF et al (2013) Syndesmosis and lateral ankle sprains in the National Football League. Orthopedics 36:e1378\u2013e1384","journal-title":"Orthopedics"},{"key":"6156_CR18","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1177\/1941738111434916","volume":"4","author":"BS Miller","year":"2012","unstructured":"Miller BS, Downie BK, Johnson PD et al (2012) Time to return to play after high ankle sprains in collegiate football players: a prediction model. Sports Health 4:504\u2013509","journal-title":"Sports Health"},{"key":"6156_CR19","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1249\/MSS.0000000000000151","volume":"46","author":"AD Sman","year":"2014","unstructured":"Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Refshauge KM (2014) Prognosis of ankle syndesmosis injury. Med Sci Sports Exerc 46:671\u2013677","journal-title":"Med Sci Sports Exerc"},{"key":"6156_CR20","doi-asserted-by":"publisher","first-page":"1110","DOI":"10.3113\/FAI.2011.1110","volume":"32","author":"PC C\u00e9sar de","year":"2011","unstructured":"de C\u00e9sar PC, Avila EM, de Abreu MR (2011) Comparison of magnetic resonance imaging to physical examination for syndesmotic injury after lateral ankle sprain. Foot Ankle Int 32:1110\u20131114","journal-title":"Foot Ankle Int"},{"key":"6156_CR21","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1016\/j.apmr.2017.11.008","volume":"99","author":"C Doherty","year":"2018","unstructured":"Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E (2018) Clinical tests have limited predictive value for chronic ankle instability when conducted in the acute phase of a first-time lateral ankle sprain injury. Arch Phys Med Rehabil 99:720\u2013725 e1","journal-title":"Arch Phys Med Rehabil"},{"key":"6156_CR22","first-page":"857","volume":"42","author":"IC Eekeren van","year":"2012","unstructured":"van Eekeren IC, Reilingh ML, van Dijk CN (2012) Rehabilitation and return-to-sports activity after debridement and bone marrow stimulation of osteochondral talar defects. Sports Med 42:857\u2013870","journal-title":"Sports Med"}],"container-title":["European Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-019-06156-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00330-019-06156-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-019-06156-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T23:09:46Z","timestamp":1585609786000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00330-019-06156-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,1]]},"references-count":22,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["6156"],"URL":"https:\/\/doi.org\/10.1007\/s00330-019-06156-1","relation":{},"ISSN":["0938-7994","1432-1084"],"issn-type":[{"value":"0938-7994","type":"print"},{"value":"1432-1084","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,1]]},"assertion":[{"value":"24 November 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2019","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2019","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2019","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The scientific guarantor of this publication is Michel D. Crema, MD.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Guarantor"}},{"value":"Authors MDC, AG, and FWR are shareholders of Boston Imaging Core Lab (BICL), LLC. Author AG is a consultant with AstraZeneca, Genzyme, and Merck Serono. None of the other authors declare any conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Branislav Krivokapic (University of Belgrade) provided statistical advice for this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was waived by the Institutional Review Board.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Institutional Review Board approval was obtained.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"\u2022 Retrospective\u2022 Cross-sectional study\u2022 Performed at one institution","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}