Tuite Michael J
Department of Radiology, University of Wisconsin Hospital and Clinics, Madison, WI 53792, USA.
Semin Musculoskelet Radiol. 2002 Jun;6(2):119-31. doi: 10.1055/s-2002-32358.
Hindfoot pain from tendon pathology is common and seen in a wide range of patients from young athletes to older sedentary individuals. Magnetic resonance (MR) is an excellent technique for imaging tendons and for identifying injuries that can be treated with surgery. MR also demonstrates the presence of bone marrow edema, which is a cause of pain and often a marker for adjacent tendon injury. Finally, MR can reveal other etiologies that cause similar hindfoot pain, such as osteochondral injuries and impingement. In this article, we review the normal MR appearance of the ankle tendons and tendon sheath fluid. MR protocols for imaging the various ankle tendon groups are presented. We discuss the MR appearance of tendon pathology, including tendonosis/ tendinopathy, tenosynovitis and peritendonosis, partial and complete tears, subluxation and dislocation, and entrapment. The Achilles, medial, lateral, and anterior tendon groups are discussed separately so as to focus on the MR appearance specific to each region of the ankle.
肌腱病变引起的后足疼痛很常见，在从年轻运动员到年长久坐不动的人群等广泛的患者中都能见到。磁共振成像（MR）是一种用于肌腱成像和识别可通过手术治疗的损伤的优秀技术。MR还能显示骨髓水肿的存在，骨髓水肿是疼痛的一个原因，且常常是相邻肌腱损伤的一个标志。最后，MR可以揭示其他导致类似后足疼痛的病因，如骨软骨损伤和撞击。在本文中，我们回顾了踝关节肌腱和腱鞘积液的正常MR表现。介绍了用于成像各种踝关节肌腱组的MR检查方案。我们讨论了肌腱病变的MR表现，包括肌腱退变/肌腱病、腱鞘炎和腱周病变、部分和完全撕裂、半脱位和脱位以及卡压。分别讨论了跟腱、内侧、外侧和前侧肌腱组，以便专注于踝关节每个区域特有的MR表现。
