Ziai Pejman, Wenzel Florian, Krall Christoph, Auffarth Alexander, Hofstetter Martin, Buchhorn Tomas
Acta Orthop Belg. 2020 Mar;86(1):115-121.
Anterior inferior tibiofibular ligament (AITFL) lesion have been shown to result in proliferation of cicatricial tissue ; concomitant insufficiency of the anterior talofibular ligament (ATFL) and AITFL Lesion may cause anterolateral syndesmotic impingement in the ankle joint of runners. Twenty-two runners with suspected syndesmotic impingement after ankle sprain were included in the study. An MRI of the ankle joint was performed followed by arthroscopy. Arthroscopy revealed an ATFL lesion in 20 patients (87%) and anterolateral syndesmotic impingement in 17 patients (77%). An ATFL lesion was detected in all patients with anterolateral syndesmotic impingement. The sensitivity of MRI was 24% (4 patients) on detecting anterolateral syndesmotic impingement, and 25% (5 patients) on ATFL lesion. A traumatic sprain of the ankle frequently results in a combined ATFL lesion and anterolateral syndesmotic impingement in runners. The abilities of MRI to detect this combined pathology are limited. Arthroscopy of the ankle joint should be performed. Study Design : Case series ; level of evidence 4.
胫腓前下韧带（AITFL）损伤已被证明会导致瘢痕组织增生；距腓前韧带（ATFL）功能不全与AITFL损伤同时存在可能会导致跑步者踝关节前外侧联合处撞击。本研究纳入了22名踝关节扭伤后疑似存在联合处撞击的跑步者。先对踝关节进行了磁共振成像（MRI）检查，随后进行了关节镜检查。关节镜检查发现20例患者（87%）存在ATFL损伤，17例患者（77%）存在前外侧联合处撞击。所有存在前外侧联合处撞击的患者均检测到ATFL损伤。MRI检测前外侧联合处撞击的敏感度为24%（4例患者），检测ATFL损伤的敏感度为25%（5例患者）。踝关节创伤性扭伤常导致跑步者同时出现ATFL损伤和前外侧联合处撞击。MRI检测这种联合病变的能力有限。应进行踝关节镜检查。研究设计：病例系列；证据等级4。
