Alparslan Leyla, Chiodo Christopher P
Department of Radiology, Akademiska Sjukhuset, Uppsala University Hospital, Uppsala University, Uppsala, Sweden.
Semin Musculoskelet Radiol. 2008 Dec;12(4):346-58. doi: 10.1055/s-0028-1100641. Epub 2008 Nov 18.
Chronic ankle instability has been defined as the development of recurrent ankle sprains and persistent symptoms after initial lateral ankle sprain. The diagnosis of ankle instability is usually established on the patient's history, physical examination, and radiographic assessment. Patients have signs of both functional and mechanical instability, and the repetitive, chronic nature of the injury may lead to intra-articular and periarticular pathologies. This article discusses the incidence, etiology, and magnetic resonance (MR) imaging of these pathologies, reviews the surgical treatment procedures for lateral ankle instability, and presents the postoperative MR imaging findings.
慢性踝关节不稳被定义为初次外侧踝关节扭伤后反复出现踝关节扭伤和持续症状。踝关节不稳的诊断通常基于患者的病史、体格检查和影像学评估。患者同时具有功能不稳和机械不稳的体征,且损伤的重复性、慢性本质可能导致关节内和关节周围病变。本文讨论了这些病变的发病率、病因及磁共振(MR)成像,回顾了外侧踝关节不稳的手术治疗方法,并展示了术后MR成像结果。