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Adjacent tissue involvement of acute inflammatory ankle arthritis on magnetic resonance imaging findings

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Abstract

Purpose

The ankle joint and surrounding subtalar joint have several tendons in close proximity. This study was performed to investigate the concurrent adjacent tissue involvement on MRI findings when the surgical treatment is considered for an acute inflammatory arthritis of the ankle joint.

Methods

Consecutive patients with acute inflammatory ankle arthritis who visited the emergency room and underwent MRI were included. After interobserver reliability testing of MRI findings, adjacent tissue involvement in the acute inflammatory ankle arthritis were evaluated including flexor hallucis longus (FHL), flexor digitorum longus (FDL), tibialis posterior (TP), peroneus longus (PL), peroneus brevis (PB), extensor digitorum longus (EDL), tibialis anterior (Tib Ant), extensor hallucis longus (EHL), subtalar joint, talus, tibia, and calcaneus.

Results

Twenty-five patients (mean age 57.8 years; 16 males and nine females) were included. Of the 25 patients, 23 showed FHL involvement, 21 FDL, 21 TP, 15 PL, 15 PB, three EDL, 21 subtalar joint, six talus, six tibia, and five calcaneus on MR images. No Tib Ant or EHL involvement was observed on MR findings in acute inflammatory ankle arthritis.

Conclusions

Patients with acute inflammatory ankle arthritis showed frequent concomitant surrounding tissue involvement on MRI, which included FHL, FDL, TP, and subtalar joint. This needs to be considered when surgical drainage is planned for acute inflammatory ankle arthritis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 300 Gumi-Dong, Bundang-Gu, Sungnam, Kyungki, 463-707, Korea

    Kyoung Min Lee, Chin Youb Chung, Sung Hun Won, Seung Yeol Lee, Young Choi & Moon Seok Park

Authors
  1. Kyoung Min Lee
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  2. Chin Youb Chung
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  3. Sung Hun Won
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  4. Seung Yeol Lee
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  5. Young Choi
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  6. Moon Seok Park
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Corresponding author

Correspondence to Moon Seok Park.

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No benefits in any form have been received or will be received from any commercial party related directly or indirectly to the subject of this article.

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Lee, K.M., Chung, C.Y., Won, S.H. et al. Adjacent tissue involvement of acute inflammatory ankle arthritis on magnetic resonance imaging findings. International Orthopaedics (SICOT) 37, 1943–1947 (2013). https://doi.org/10.1007/s00264-013-1932-3

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  • DOI: https://doi.org/10.1007/s00264-013-1932-3

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