Document Detail


MRI evaluation of anterolateral soft tissue impingement of the ankle.
MedLine Citation:
PMID:  20727312     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The usefulness of magnetic resonance imaging (MRI) has been questioned in evaluating patients with chronic ankle sprain pain. The purpose of this study was to determine the effectiveness and reliability of routine MR imaging in the diagnosis of anterolateral soft tissue impingement.
MATERIALS AND METHODS: Inclusion criteria required that the MR examinations be performed by the same musculoskeletal radiologist after the most recent scanner upgrade and using a dedicated ankle/hindfoot coil. The surgical and MRI reports of 24 patients who had an arthroscopic diagnosis of anterolateral soft tissue impingement of the ankle were tabulated and categorized. Unlike previous studies, sagittal T1 and Short Tau Inversion Recovery (STIR) images were used primarily in the diagnosis of these lesions.
RESULTS: Using this technique, we report a 78.9% accuracy in diagnosis, a sensitivity of 83.3% and a specificity of 78.6%. Fifty-eight percent of patients had an associated diagnosis, which in 33% of patients altered our surgical plan.
CONCLUSION: Although not indicated in all cases of anterolateral ankle impingement, we advocate the use of MR imaging in complicated clinical presentations where the exclusion of additional pathology in the ankle or subtalar joint, and the confirmation of anterolateral soft tissue impingement would be beneficial.
Authors:
Richard D Ferkel; Max Tyorkin; Gregory R Applegate; Gregory T Heinen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  31     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-09-29     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  655-61     Citation Subset:  IM    
Affiliation:
Southern CA Ortho Institute, Orthopaedic Surgery, Van Nuys, CA 91405, USA. rferkel@scoi.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Ankle Joint / pathology*,  surgery
Arthralgia / etiology,  surgery
Arthroscopy
Case-Control Studies
Female
Humans
Joint Diseases / diagnosis*,  surgery
Ligaments, Articular / injuries,  pathology
Magnetic Resonance Imaging*
Male
Retrospective Studies
Sensitivity and Specificity
Severity of Illness Index
Tendinopathy / diagnosis
Tendon Injuries / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Primary monophasic synovial sarcoma presenting as a benign neurogenic tumor: case review and review ...
Next Document:  Is it necessary to re-fuse a non-union of a Hallux metatarsophalangeal joint arthrodesis?