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[Ankle impingement syndrome].

M Larciprete1, G Giudice, P Balocco

  • 1Dipartimento di Radiologia, Azienda Ospedaliera, Centro Traumatologico Ortopedico, Centro Rieducazione Funzionale, Maria Adelaide, Via Zuretti, 29, 10126 Torino TO.

La Radiologia Medica
|March 27, 2001
PubMed
Summary
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Magnetic resonance imaging (MRI) effectively classifies ankle impingement syndromes by identifying bone, fibrous, and synovial causes. This imaging tool aids in objective diagnosis and treatment planning for tibiotarsal joint pain.

Area of Science:

  • Orthopedic imaging
  • Anatomy and biomechanics of the ankle

Context:

  • Ankle impingement syndrome presents with pain and limited mobility due to various factors.
  • Accurate classification of impingement causes is crucial for effective treatment.

Purpose:

  • To classify the diverse causes and anatomical locations of ankle impingement syndromes using Magnetic Resonance Imaging (MRI).

Summary:

  • This study utilized MRI on 42 patients with ankle impingement, correlating findings with arthroscopy.
  • MRI identified bone impingement (osteophytes, fractures), fibrous impingement (meniscoid lesions, scar tissue), and synovial impingement (plica, hypertrophy).
  • Gadolinium-enhanced MRI improved visualization of soft tissues and intra-articular bodies, aiding classification into bone, fibrous, and synovial types.

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Impact:

  • MRI serves as a fundamental diagnostic tool for detailing impingement patterns and sites.
  • Objective classification of tibiotarsal joint impingement syndromes is achievable through integrated MRI, clinical, and arthroscopic data.
  • Enhanced diagnostic capabilities can lead to more targeted and effective treatment strategies for ankle impingement.