Division of Musculoskeletal Imaging, Department of Radiology, Penn Musculoskeletal Center, Philadelphia, Pennsylvania.
Emek Medical Center, Clalit Healthcare Services, Afula, Israel.
Semin Musculoskelet Radiol. 2022 Apr;26(2):163-171. doi: 10.1055/s-0042-1743406. Epub 2022 May 24.
Entrapment neuropathies of the ankle and foot pose a major diagnostic challenge and thus remain underdiagnosed. Recent advancements in imaging modalities, including magnetic resonance neurography (MRN), have resulted in considerable improvement in the anatomical localization and identification of pathologies leading to nerve entrapment. MRN supplements clinical examination and electrophysiologic studies in the diagnosis of neuropathies, aids in assessing disease severity, and helps formulate management strategies. A comprehensive understanding of the anatomy and imaging features of the ankle is essential to diagnose and manage entrapment neuropathies accurately. Advancements in imaging and their appropriate utilization will ultimately lead to better diagnoses and improved patient outcomes.
踝关节和足部的嵌压性神经病构成了重大的诊断挑战，因此仍未得到充分诊断。影像学技术的最新进展，包括磁共振神经成像（MRN），在神经嵌压导致的解剖定位和病变识别方面取得了显著改善。MRN 补充了临床检查和电生理研究，有助于诊断神经病，评估疾病严重程度，并制定管理策略。全面了解踝关节的解剖结构和影像学特征对于准确诊断和治疗嵌压性神经病至关重要。影像学技术的进步及其合理应用将最终导致更好的诊断和改善患者的预后。
