Diagnostic imaging of ankle impingement syndromes in athletes

The chronic ankle pain is a very frequent clinical problem, which is often characterized by a painful mechanical limitation of full-range ankle movement. A large amount of causes are involved in its pathogenesis, but the most common forms are secondary to an osseous or soft tissue abnormality. Espec...

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Bibliographic Details
Published in:Musculoskeletal surgery 2013-08, Vol.97 (Suppl 2), p.145-153
Main Authors: Spiga, S., Vinci, V., Tack, S., Macarini, L., Rossi, M., Coppolino, F., Boi, C., Genovese, E. A.
Format: Article
Language:English
Subjects:
Ankle Injuries - diagnosis
Athletes
Athletic Injuries - diagnosis
Contrast Media
Diagnosis, Differential
Diagnostic imaging
Humans
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Orthopedics
Predictive Value of Tests
Review
Sensitivity and Specificity
Surgical Orthopedics
Syndrome
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Description
Summary:The chronic ankle pain is a very frequent clinical problem, which is often characterized by a painful mechanical limitation of full-range ankle movement. A large amount of causes are involved in its pathogenesis, but the most common forms are secondary to an osseous or soft tissue abnormality. Especially for professional athletes, impingement lesions are the most important causes of chronic pain; however, this symptomatology can also affect ordinary people, mostly in those who work in environments that cause severe mechanical stress on the joints. This group of pathologies is characterized by a joint conflict secondary to an abnormal contact among bone surfaces or between bones and soft tissues. Diagnosis is mainly clinic and secondly supported by imaging in order to localize the critical area of impingement and determine the organic cause responsible for the joint conflict. Treatments for different forms of impingement are similar. Usually, the first step is a conservative approach (rest, physiotherapy, ankle bracing, shoe modification and local injection of corticosteroids), and only in case of unsuccessful response, the second step is the operative treatment with open and arthroscopic techniques. The aim of the study is to describe different MR imaging patterns, comparing our data with those reported in the literature, in order to identify the best accurate diagnostic protocol.
ISSN:2035-5106
2035-5114
DOI:10.1007/s12306-013-0280-1