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In : Rodineau J, Saillant G, eds. Panorama en traumatologie du sport. Paris ; Masson : 2002. p. 111-9. 39 Simanovsky N, Hiller N, Leibner E, Simanowski N. Sonographic detection of radiographically occult fractures in paediatric ankle injuries. Pediatr Radiol 2005 ; 35 : 1062-5. 40 Wang CL, Shieh JY, Wang TG, Hsieh FJ. Sonographic detection of occult fractures in the foot and ankle. J Clin Ultrasound 1999 ; 27 : 421-5. 41 Hsu CC, Tsai WC, Chen CP, Tsang SF, Shih L. Ultrasonographic examination for inversion ankle sprains associated with osseous injuries.

Dans ces deux tableaux, le bilan échographique couplé à la radiographie [24] doit être proposé systématiquement à notre avis, car ce sont les tableaux dans lesquels nous rencontrerons le plus de lésions associées et de discordance sur la gravité de l’atteinte ligamentaire. Le scanner complètera ce bilan lorsqu’une lésion du talus ou du calcanéus sera suspectée. L’échographie viendra dresser un bilan lésionnel bien plus précis et complet que ne saurait le faire l’examen clinique, et guidera l’attitude thérapeutique jusqu’à la consultation programmée à J30.

Cette démarche comprendra un bilan initial ainsi que deux suivis à J5 et J30. Références 1 Besch S, de Lécluse J. Le ligament collatéral latéral de la cheville In : Rodineau J, Saillant G, eds. La lésion ligamentaire périphérique récente. Paris : Masson ; 2003. p. 120-7. 2 Judet T. Biomécanique du pied In : Rodineau J, Saillant G, eds. Les lésions ligamentaires récentes du cou-de-pied. Paris : Masson ; 1996. p. 9-13. 3 Rodineau J. L’évaluation clinique In : Rodineau J, Saillant G, eds. Les lésions ligamentaires récentes du cou-de-pied.

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