Sharabianlou Korth M, Fritz L B
Rheinlandärzte, Bahnstraße 31, 47877, Willich, Deutschland.
Radiologe. 2017 Nov;57(11):891-906. doi: 10.1007/s00117-017-0306-z.
CLINICAL/METHODICAL ISSUE: Postoperative imaging of the ankle can be challenging, even for the experienced radiologist. Pathological and postoperative changes to the primarily complex anatomy of the ankle with its great variety of bone structures, tendons, ligaments, and soft tissue in a very limited space may cause great difficulty in differentiating underlying pathology from expected postoperative changes and artifacts, especially in magnetic resonance imaging (MRI).
Selecting the appropriate radiological modality is key to making the correct diagnosis. Therefore, knowledge of the initial and current symptoms is just as important as familiarity with the most frequently performed operations in the ankle.
This article aims to give its reader a summary of the most important and frequently performed operation techniques of the ankle and discusses the expected appearance and possible complications in postoperative imaging.
临床/方法学问题:即使对于经验丰富的放射科医生而言,踝关节术后成像也可能具有挑战性。踝关节原本复杂的解剖结构在非常有限的空间内包含多种骨结构、肌腱、韧带和软组织,其病理及术后变化可能在区分潜在病理改变与预期术后变化及伪影时造成极大困难,尤其是在磁共振成像(MRI)中。
选择合适的放射学检查方式是做出正确诊断的关键。因此,了解初始症状和当前症状与熟悉踝关节最常进行的手术同样重要。
本文旨在为读者总结踝关节最重要且最常施行的手术技术,并讨论术后成像中的预期表现及可能的并发症。