{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:03:12Z","timestamp":1783954992832,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In athletes with an acute ligamentous ankle injury, cartilage and osteochondral lesions ([O]CLs) have been reported in 8% using 1.5-T magnetic resonance imaging (MRI). Visualization of cartilage injuries improves with the use of higher field strengths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the prevalence, size, and anatomic location of (O)CLs in athletes with an acute ligamentous ankle injury using 3-T MRI, as well as to determine the association of (O)CLs with injury of (1) the lateral ankle ligaments and (2) anterior syndesmosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>For this prospective cohort study, all acute ligamentous ankle injuries in athletes (\u226518 years of age) evaluated in the outpatient department of a specialized orthopaedic and sports medicine hospital within 7 days after injury were assed for eligibility. Acute ankle injuries were excluded if 3-T MRI could not be obtained within 10 days after injury or if imaging demonstrated a frank fracture. A musculoskeletal radiologist assessed MRI scans for the presence, location, and size of (O)CLs. Morphology was graded using the modified Berndt and Harty score, Griffith MRI score, and International Cartilage Regeneration &amp; Joint Preservation Society score. In addition, injuries of the lateral ankle ligaments and anterior syndesmosis were graded. A multivariate logistic regression analysis was performed to evaluate the association between (O)CLs and injury of the (1) lateral ankle ligaments and (2) anterior syndesmosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Between September 2016 and February 2020, 171 acute ankle injuries in 166 athletes were included in this study. The overall prevalence of (O)CLs was 14%. (O)CLs of the talus and tibia were observed in 24 (14%) and 9 (5%) acute ankle injuries, respectively. Of 33 (O)CLs, 28 (85%) were classified as cartilage lesions. Lateral ligament injury was observed in 73% of acute ankle injuries, and anterior syndesmosis injury in 38%. Multivariate logistic regression analysis did not show significantly higher odds of (O)CLs in the presence of anterior syndesmosis injury (OR, 2.16; 95% CI, 0.90-5.16).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In athletes with an acute ligamentous ankle injury, a prevalence for (O)CLs of 14% was established using 3-T MRI. The majority were cartilage lesions. No statistically significant association was established between (O)CLs and lateral ligament or syndesmosis injury was established.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251344187","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T06:21:18Z","timestamp":1749709278000},"page":"2173-2180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Prevalence, Size, and Anatomic Location of Cartilage and Osteochondral Lesions in Athletes With an Acute Ligamentous Ankle Injury"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2396-8984","authenticated-orcid":false,"given":"Thomas P.A.","family":"Baltes","sequence":"first","affiliation":[{"name":"Research Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"},{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC\/VUmc IOC Research Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feriel","family":"Dalansi","sequence":"additional","affiliation":[{"name":"Research Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"},{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC\/VUmc IOC Research Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam R.","family":"Al-Naimi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Bordalo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4002-8679","authenticated-orcid":false,"given":"Louis","family":"Holtzhausen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"},{"name":"Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"},{"name":"Department of Exercise and Sports Science, University of the Free State, Bloemfontein, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rod","family":"Whiteley","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2777-8707","authenticated-orcid":false,"given":"Marco","family":"Cardinale","sequence":"additional","affiliation":[{"name":"Research Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"},{"name":"Institute of Sport, Exercise and Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"D\u2019Hooghe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M.M.J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC\/VUmc IOC Research Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes L.","family":"Tol","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC\/VUmc IOC Research Center, Amsterdam, The Netherlands"},{"name":"Department of Sports Medicine, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2024.11.007"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06989-2"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2020-000503"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-07305-7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12079"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0446-4"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195941060-00002"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603519876353"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200300002-00008"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.10.003"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012401"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/19476035221102569"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06755-w"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0524"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0154"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-011-1246-8"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4043-z"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011420944925"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/19476035241280072"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06141-y"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514529643"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.184.2.1620856"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200504"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603520954510"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/19476035241229026"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2023-001879"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221084365"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465251344187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03635465251344187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465251344187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:52:30Z","timestamp":1777369950000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465251344187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,12]]},"references-count":27,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/03635465251344187"],"URL":"https:\/\/doi.org\/10.1177\/03635465251344187","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,12]]}}}