Umans Hilary
Division of Musculoskeletal Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Semin Musculoskelet Radiol. 2002 Jun;6(2):133-39. doi: 10.1055/s-2002-32359.
The term "ankle impingement" encompasses a broad range of conditions that are typically post-traumatic and often chronic. Various forms of mechanical impingement can result from synovial proliferation, bone spur formation, or ligamentous scarring and hypertrophy. Since symptoms and physical findings can mimic a variety of disorders, accurate diagnosis may remain elusive, and proper effective therapy may be delayed. The objective of this article is to define and elucidate the etiology of the various forms of ankle impingement, clarify the range of associated osseous and soft-tissue pathology, and describe the imaging features and therapeutic options.
术语“踝关节撞击症”涵盖了一系列通常由创伤引起且往往为慢性的病症。滑膜增生、骨赘形成或韧带瘢痕化及肥厚可导致各种形式的机械性撞击。由于症状和体格检查结果可能与多种疾病相似，准确诊断可能难以实现，恰当有效的治疗可能会延迟。本文的目的是界定并阐明各种形式踝关节撞击症的病因，明确相关的骨与软组织病理范围，并描述其影像学特征及治疗选择。
