Simplified Diagnostic Algorithm for Lauge-Hansen Classification of Ankle Injuries
Abstract
A simplified approach to classifying ankle injuries with the Lauge-Hansen system is given, with radiologic correlation and movies showing the sequence of ligament rupture and bone fractures that occur with each type of traumatic mechanism.
Ankle injuries occur in a predictable sequence, allowing a logical understanding of their classification once the injury mechanism is recognized. The Lauge-Hansen classification system was developed on the basis of the mechanism of trauma and is useful for guiding treatment. Three radiographic views of the ankle (anteroposterior, mortise, and lateral) are necessary to classify an injury with the Lauge-Hansen system. Two additional criteria are also necessary: the position of the foot at the time of injury and the direction of the deforming force. Because understanding the mechanism of trauma is fundamental to classifying the injury, three-dimensional movies were assembled for each classification, showing the sequence of ligament rupture and bone fractures that occurs with each type of traumatic mechanism. Supplemental material available at http://radiographics.rsna.org/lookup/suppl/doi:10.1148/rg.322115017/-/DC1.
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Article History
Received: Feb 3 2011Revision requested: Apr 29 2011
Revision received: Nov 21 2011
Accepted: Nov 23 2011
Published online: Mar 5 2012
Published in print: Mar 2012