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Ankle impingement syndromes

C Masciocchi1, A Catalucci, A Barile

  • 1Department of Radiology, Instituto di Radiologia, University of L'Aquila, Ospedale Santa Maria di Collemaggio, Italy.

European Journal of Radiology
|July 4, 1998
PubMed
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Ankle impingement syndrome, affecting athletes and the general population, includes bone impingement, soft tissue issues, and nerve entrapment. Imaging like MRI and CT aids in diagnosing these painful conditions.

Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Ankle impingement syndrome is a common cause of ankle pain in athletes and the general population.
  • It can manifest as bone impingement, soft tissue impingement, or peripheral nerve entrapment.

Purpose of the Study:

  • To investigate the clinical and diagnostic aspects of ankle impingement syndrome.
  • To evaluate the diagnostic utility of conventional radiography, CT, and MRI for various types of ankle impingement.

Main Methods:

  • Review of diagnostic imaging modalities including conventional radiography, Computed Tomography (CT), and Magnetic Resonance Imaging (MRI).
  • Analysis of imaging findings for anterior and posterior bone impingement, anterolateral impingement, sinus tarsi impingement, and nerve entrapment syndromes.

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Main Results:

  • Plain radiography effectively identifies bony abnormalities like osteophytes and os trigonum in bone impingement.
  • CT provides valuable information on posterior ankle structures, while MRI excels in detecting chondral/subchondral injuries and soft tissue involvement.
  • MRI is crucial for diagnosing anterolateral impingement, sinus tarsi impingement, and nerve entrapments, especially with specialized sequences.

Conclusions:

  • Conventional radiography, CT, and MRI play complementary roles in diagnosing ankle impingement syndromes.
  • MRI is particularly valuable for soft tissue and intra-articular pathologies, as well as nerve entrapments.
  • Accurate diagnosis through advanced imaging facilitates appropriate management of ankle impingement.