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[足踝部韧带和肌腱损伤:每位放射科医生都应了解的内容]

[Injuries of ligaments and tendons of foot and ankle : What every radiologist should know].

作者信息

Thierfelder K M, Gemescu I N, Weber M-A, Meier R

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Department of Radiology and Medical Imaging, University Emergency Hospital Bukarest, Bukarest, Rumänien.

出版信息

Radiologe. 2018 May;58(5):415-421. doi: 10.1007/s00117-018-0383-7.

Abstract

Injuries of the ligaments and tendons of the ankle and foot are among the most common musculoskeletal injuries. A correct and precise description of the pathology and possible accompanying injuries is essential for treatment planning by trauma and orthopedic surgeons. While X‑ray is used to exclude fractures, ultrasound is a very useful tool to assess the ligaments and tendons. For the radiologist, magnetic resonance imaging (MRI) is invaluable regarding the correct assessment of (partial) ruptures, as well as for evaluating accompanying injuries. The aim of the present overview is to provide the most relevant facts for radiologists regarding injuries of ligaments and tendons of the ankle and foot. A description of expected MRI findings and possible pitfalls are presented. For each ligament complex or tendon, we review the anatomy, followed by relevant facts on biomechanics and typical findings in case of injury. The lateral and medial ligament complex, syndesmosis, spring ligament complex, and the Lisfranc ligament are shown in detail. The Achilles tendon and the peroneal tendons are also discussed.

摘要

踝关节和足部的韧带及肌腱损伤是最常见的肌肉骨骼损伤之一。准确、精确地描述病理情况及可能伴随的损伤对于创伤外科医生和骨科医生制定治疗方案至关重要。虽然X线用于排除骨折,但超声是评估韧带和肌腱的非常有用的工具。对于放射科医生而言,磁共振成像(MRI)对于正确评估(部分)断裂以及评估伴随损伤具有极高价值。本综述的目的是为放射科医生提供有关踝关节和足部韧带及肌腱损伤的最相关事实。文中介绍了预期的MRI表现及可能出现的陷阱。对于每一个韧带复合体或肌腱,我们先回顾其解剖结构,接着阐述生物力学相关事实以及损伤时的典型表现。详细展示了外侧和内侧韧带复合体、下胫腓联合、弹簧韧带复合体以及Lisfranc韧带。还讨论了跟腱和腓骨肌腱。

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