Abstract
The ankle is one of the most frequently involved joints in sport-related pathology, including an heterogeneous group of pathological conditions, both traumatic and degenerative. Ligamentous lesions, especially the ones involving the lateral complex, are the most frequent and are often associated with osteochondral lesions of the talar dome. Tendineous pathology mainly include Achilles’ tendon lesions, which often occur on a degenerate tendon. A lot of cases of “painful ankle” depend on impingement syndromes, both osseous and synovial, and on coxa pedis pathology.
Even if ultrasound and conventional radiology frequently represent the initial diagnostic approach, only with magnetic resonance (MR) it’s possible to reach an accurate diagnosis and guide the patient to an appropriate therapeutic choice.
Similar content being viewed by others
Bibliografia
Garrick JG, Requa RK (1988) The epidemiology of foot and ankle injuries in sports. Clin Sports Med 7:29–36
McGuine TA, Keene JS (2006) The effect of a balance training program on the risk of ankle sprains in high school athletes. Am J Sports Med 34:1103–1111
Masciocchi C, Barile A (2002) Magnetic resonance imaging of the hindfoot with surgical correlations. Skeletal Radiol 31:131–142
Dalinka MK, Kricun ME, Zlatkin MB, Hibbard CA (1989) Modern diagnostic imaging in joint disease. AJR Am J Roentgenol 152:229–240
Shahabpour M, Handelberg F, Opdecam M et al (1992) Magnetic resonance imaging (MRI) of the ankle and hindfoot. Acta Orthop Belg 58[Suppl. 1]:5–14
Deutsch AL, Mink JH, Kerr R (1992) MRI of the foot and ankle. Raven Press, New York
Kneeland JB, Macrandar S, Middleton WD et al (1988) MR imaging of the normal ankle: correlation with anatomic sections. AJR Am J Roentgenol 151:117–123
Middleton WD, Macrander S, Lawson TL et al (1987) High resolution surface coil magnetic resonance imaging of the joints: anatomic correlation. Radiographics 7:645–683
Schneck CD, Mesgarzadeh M, Bonakdarpour A (1992) MR imaging of the most commonly injured ankle ligaments. Part II. Ligament injuries. Radiology 184:507–512
Chandnani VP, Harper MT, Ficke JR et al (1994) Chronic ankle instability: evaluation with MR arthrography, MR imaging, and stress radiography. Radiology 192:189–194
Klein MA (1994) MR imaging of the ankle: normal and abnormal findings in the medial collateral ligament. AJR Am J Roentgenol 162:377–383
Hepple S, Winson IG, Glew D (1999) Osteochondral lesions of the talus: a revised classification. Foot Ankle Int 20:789–793
Mintz DN, Tashjian GS, Connell DA et al (2003) Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy 19:353–359
Schuman L, Struijs PA, van Dijk CN (2002) Arthroscopic treatment for osteochondral defects of the talus. Results at follow-up at 2 to 11 years. J Bone Joint Surg Br 84:364–368
Verhagen RA, Maas M, Dijkgraaf MG et al (2005) Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? J Bone Joint Surg Br 87:41–46
Robinson DE, Winson IG, Harries WJ, Kelly AJ (2003) Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br 85:989–993
Muhle C, Frank LR, Rand T et al (1998) Tibiofibular syndesmosis: high-resolution MRI using a local gradient coil. J Comput Assist Tomogr 22:938–944
Pisani G (1990) Trattato di chirurgia del piede. Minerva Medica, Torino
Pisani G, Pisani PC, Parino E (2005) Sinus tarsi syndrome and subtalar joint instability. Clin Podiatr Med Surg 22:63–77
Tol JL, van Dijk CN (2006) Anterior ankle impingement. Foot Ankle Clin 11:297–310
Robinson P, Bollen SR (2006) Posterior ankle impingement in professional soccer players: effectiveness of sonographically guided therapy. AJR Am J Roentgenol 187:W53–W58
Haller J, Bernt R, Seeger T et al (2006) MR-imaging of anterior tibiotalar impingement syndrome: agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography. Eur J Radiol 58:450–460
Cerezal L, Abascal F, Canga A et al (2003) MR imaging of ankle impingement syndromes. AJR Am J Roentgenol 181:551–559
Paavola M, Kannus P, Järvinen TA et al (2002) Achilles tendinopathy. J Bone Joint Surg Am 84:2062–2076
Karjalainen PT, Soila K, Aronen HJ et al (2000) MR imaging of overuse injuries of the Achilles tendon. AJR Am J Roentgenol 175:251–260
Khan KM, Maffulli N (1998) Tendinopathy: an Achilles’heel for athletes and clinicians. Clin J Sport Med 8:151–154
Schweitzer ME, Karasick D (2000) MR imaging of disorders of the Achilles tendon. AJR Am J Roentgenol 175:613–625
Author information
Authors and Affiliations
About this article
Cite this article
Barile, A., Conti, L., Lanni, G. et al. “Imaging” della caviglia nelle lesioni da sport. Arch Ortop Reumatol 121, 3–5 (2010). https://doi.org/10.1007/s10261-010-0047-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10261-010-0047-2