Kneeland J B, Dalinka M K
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Magn Reson Q. 1992 Jun;8(2):97-115.
Technical considerations for the magnetic resonance imaging of the foot and ankle are discussed, including the selection of the appropriate surface coil, the importance of stabilizing the anatomic region, and the principles guiding the choice of pulse sequences. The anatomy of the foot and ankle are reviewed, and the normal appearance and important variations of the different structures on magnetic resonance images are discussed. Pathology of the foot and ankle are then discussed. Topics covered include osteochondral and radiographically occult fractures, tears and inflammation of the Achilles and posterior tibial tendons, tears of the lateral collateral ligaments and sinus tarsi syndrome, primary tumors (in particular, those of the foot), synovial diseases such as pigmented villonodular synovitis, congenital abnormalities, and disorders such as tarsal tunnel syndrome and plantar fasciitis.
本文讨论了足踝部磁共振成像的技术要点,包括合适表面线圈的选择、稳定解剖区域的重要性以及指导脉冲序列选择的原则。回顾了足踝部的解剖结构,并讨论了磁共振图像上不同结构的正常表现及重要变异。随后讨论了足踝部的病理学情况。涵盖的主题包括骨软骨损伤和X线隐匿性骨折、跟腱和胫后肌腱的撕裂与炎症、外侧副韧带撕裂和跗骨窦综合征、原发性肿瘤(特别是足部肿瘤)、色素沉着绒毛结节性滑膜炎等滑膜疾病、先天性异常以及跗管综合征和足底筋膜炎等病症。