Gurgenidze T, Mizandari M
Georgian Med News. 2011 Oct(199):34-42.
The aim of the research is to study sonosemiotics of ankle joint pathology by means of ultrasound in order to optimize the diagnostic process and improve the treatment. 130 patients (age ranges from 5 to 70 years) underwent the radiological study of ankle joint medial aspect. Pathology types: degenerative-dystrophic diseases - 39 (30%), inflammatory pathology - 21 (16.2%), traumatic injuries - 20 (15.2%), vascular pathologies - 26 (20%), neurogenic problems -7 (5.4%), soft tissue neoplasms - 5 (3.8%), congenital anomalies - 7 (5.4%) and vertebral pathology - 5 (4.0%). The diagnostic studies include: a) Ultrasound, performed on digital ultrasound system using high frequency (7.5-12.0 MHz) linear probe with Doppler capability (all patients); b) X-Ray filming in antero-posterior and lateral projections (6 patients- 4.5%); c) MRI - T1 and T2 weighted images in saggital and transverse planes 10 patients (10.0%) and d) CT - 2 patients (1.5%); To 2 (1.5%) patient biopsy has been performed. This study showed that ultrasound was successful in ankle joint medial aspect pathology diagnosis in 108 cases (84.0%); It was ineffective in osseous pathology definition. In final diagnosis of impingment syndrom MRI was required in 4 (3.6%) cases. It is concluded that ultrasound should be used as a Gold Standard in diagnosis of localized pain and swelling in the ankle joint.
该研究的目的是通过超声研究踝关节病变的超声符号学，以优化诊断过程并改善治疗效果。130例患者（年龄在5至70岁之间）接受了踝关节内侧的放射学检查。病理类型包括：退行性营养不良性疾病39例（30%）、炎症性病变21例（16.2%）、创伤性损伤20例（15.2%）、血管病变26例（20%）、神经源性问题7例（5.4%）、软组织肿瘤5例（3.8%）、先天性异常7例（5.4%）和脊柱病变5例（4.0%）。诊断性检查包括：a）超声检查，使用具有多普勒功能的高频（7.5 - 12.0 MHz）线性探头在数字超声系统上进行（所有患者）；b）前后位和侧位X线摄影（6例患者 - 4.5%）；c）矢状面和横断面的MRI - T1和T2加权图像10例患者（10.0%），以及d）CT检查2例患者（1.5%）；对2例（1.5%）患者进行了活检。该研究表明，超声在108例踝关节内侧病变诊断中取得成功（84.0%）；在确定骨质病变方面无效。在最终诊断撞击综合征时，4例（3.6%）病例需要MRI检查。结论是，超声应作为诊断踝关节局部疼痛和肿胀的金标准。
