{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:16:05Z","timestamp":1777929365211,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"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":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To investigate the clinical utility of shear wave elastography (SWE) in the diagnosis and prognostic evaluation of acute anterior talofibular ligament (ATFL) injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study enrolled 46 patients with unilateral acute ATFL injuries and 32 age and gender-matched healthy volunteers. All patients underwent B-mode ultrasonography and SWE within 48\u00a0h post-injury and at 3\u00a0month post-rehabilitation. Quantitative assessments included ATFL thickness, Young\u2019s modulus, shear wave velocity (SWV), vascular perfusion, and echotextural characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the acute phase (\u226448\u00a0h), injured ATFLs exhibited significantly greater thickness compared to contralateral and healthy control ligaments (3.54 \u00b1 0.68\u00a0mm vs 2.15 \u00b1 0.22\u00a0mm and 2.31 \u00b1 0.16\u00a0mm, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .05), alongside markedly reduced Young\u2019s modulus and SWV. Biomechanical parameters were consistently elevated in plantarflexion-inversion versus neutral positioning. At 3-month follow-up, elastic parameters normalized substantially, with restoration of ligamentous thickness and vascular perfusion eliminating intergroup differences. The dynamic trajectory of SWE metrics paralleled structural recovery patterns.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SWE quantitatively evaluates biomechanical integrity and recovery progression in acute ATFL injuries. Combined with B-mode ultrasonography, SWE provides a robust imaging framework for diagnosis, longitudinal monitoring, and prognostic stratification, demonstrating significant clinical value in musculoskeletal trauma management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251376589","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T19:23:02Z","timestamp":1757013782000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical utility of shear wave elastography in diagnosis and prognostic assessment of acute anterior talofibular ligament injuries"],"prefix":"10.1177","volume":"33","author":[{"given":"Lin","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Ultrasound, Santai People\u2019s Hospital, Mianyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Santai People\u2019s Hospital, Mianyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7500-0871","authenticated-orcid":false,"given":"Jing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Santai People\u2019s Hospital, Mianyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-447-17"},{"issue":"10","key":"e_1_3_5_3_2","first-page":"e47709","article-title":"Conservative management of acute lateral ligaments of the ankle injuries: an analytical literature review","volume":"15","author":"Maduka GC","year":"2023","unstructured":"Maduka GC, Jakusonoka R, Maduka DC, et al. 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