Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
The aim of the study was to evaluate the status of all soft tissue and osseous structures by magnetic resonance imaging (MRI) in patients with acute ankle injury. During a two-year period (2001-2003), 50 patients with acute ankle injury (osseous injury excluded by conventional radiography) underwent MRI evaluation within 7 days of injury infliction. The following injuries were confirmed: joint effusion, joint capsule extension, lateral collateral ligament injury, fibular malleolus infraction, flexor hallucis longus tendon injury, brevis and longus peroneus tendon injury, infraction of talus and injury of tibiofibular syndesmosis. Study results pointed to a great variety of capsule-ligament andosseous structure injuries as well as to the existence of injuries undetectable by clinical examinationi and conventional radiography, where MRI proved highly useful in identifying selected patients sustaining ankle injury.Cilj studije bio je procijeniti stanje svih mekih tkiva i koštanih struktura u bolesnika s akutnom ozljedom gležnja pomoću prikaza magnetskom rezonancom (MRI). Tijekom dvogodišnjeg razdoblja (2001. - 2003.) procjena pomoću MRI provedena je u 50 bolesnika s akutnom ozljedom skočnog zgloba (u kojih je koštana ozljeda isključena konvencionalnom radiografijom) unutar 7 dana od nastupa ozljede. MRI je potvrdila slijedeće ozljede: zglobni izljev, ekstenziju zglobne kapsule, ozljedu lateralno kolateralnih ligamenata, infrakciju fibularnog maleolusa, ozljedu tetive dugog palčanog fleksora, ozljedu tetive kratkog i dugog peroneusa, infrakciju talusa i ozljedu tibiofibularne sindesmoze. Dobiveni rezultati pokazali su raznovrsne ozljede kapsulno-ligamentnih i koštanih struktura, kao i postojanje ozljeda nevidljivih na kliničkom pregledu i konvencionalnoj radiografiji, za koje je MRI vrlo korisna dijagnostička metoda u odabranih bolesnika s ozljedom skočnog zgloba
