Bianchi Stefano, Martinoli Carlo, Gaignot Celine, De Gautard René, Meyer Jean-Marc
Fondation et Clinique des Grangettes, 1224 Chene-Bougeries, Switzerland.
Semin Musculoskelet Radiol. 2005 Sep;9(3):243-59. doi: 10.1055/s-2005-921943.
Ankle tendon and ligament disorders are commonly encountered in everyday orthopedic practice. Whereas tendons can be affected by traumatic, degenerative, and inflammatory conditions, ligaments are mostly involved by tears. Ultrasonography (US) has been accepted worldwide as an efficient, ready, dynamic, and noninvasive tool in assessing ankle tendons and ligaments. The recent technological advances in software and hardware of US equipment have improved the possibilities of US in ankle assessment, and modern equipment allows an accurate depiction of ankle structures. As with all imaging modalities, knowledge of the scanning technique and knowledge of normal US anatomy are prerequisites for a successful examination. In this article we briefly review the normal anatomy of ankle tendons and main ligaments relevant to the US examination. Then we present the routine US technique of examination for the anterior, posterolateral, posteromedial, and posterior region followed by a description of the normal US appearance of tendons, bursae, and ligaments.
踝关节肌腱和韧带疾病在日常骨科实践中很常见。肌腱可受到创伤性、退行性和炎症性疾病的影响，而韧带主要受撕裂影响。超声检查（US）作为一种评估踝关节肌腱和韧带的高效、便捷、动态且无创的工具，已在全球范围内得到认可。US设备软硬件的最新技术进步提高了其在踝关节评估中的应用可能性，现代设备能够准确描绘踝关节结构。与所有成像方式一样，扫描技术知识和正常US解剖结构知识是成功检查的先决条件。在本文中，我们简要回顾与US检查相关的踝关节肌腱和主要韧带的正常解剖结构。然后介绍踝关节前侧、后外侧、后内侧和后侧区域的常规US检查技术，接着描述肌腱、滑囊和韧带的正常US表现。
