AnkleImpingementSy
2016-11-1 来源：不详 浏览次数：次Allofthesepatientshavechronicpain.
下面一组图，患者均表现为踝关节慢性疼痛。
Whatisthemostlikelydiagnosisinthefirstpatient?Whatattachestotheostrigonum?
第一个患者最有可能的诊断是什么？附着于三角籽骨的是什么结构？
2.Whatisthediagnosisinthesecondpatient?
第二个患者该如何诊断？
3.Whatdoyouseeandwhatdoesthethirdpatientlikelyhave?
第三个患者可以看到什么表现？如何诊断？
4.Whatisthediagnosisinthefourthpatient?
第四个患者该如何诊断？
AnkleImpingementSyndromes
踝关节撞击综合征
Ostrigonumsyndromewithtenosynovitisoftheflexorhallucislongustendon.Posteriortalofibularandposteriortalocalcanealligaments.
三角籽骨综合征伴拇长屈肌腱鞘炎。三角籽骨后缘有距腓后韧带和距跟后韧带附着。
2.Bonemarrowedemaofthetalusfromanteriorankleimpingement.
前踝撞击引起距骨骨髓水肿。
3.Hypertrophyoftheanteriortalofibularligament;anterolateralankleimpingement.
距腓前韧带增厚。诊断为踝关节前外侧撞击。
4.Edemainposteriortibiaplafondfromposteriorankleimpingement.
后踝撞击引起胫骨后缘水肿。
References
NiekvanDijkC:Anteriorandposteriorankleimpingement.FootAnkleClin11:–,.
RobinsonP,WhiteLM:Soft-tissueandosseousimpingementsyndromesoftheankle:Roleofimagingindiagnosisandmanagement.Radiographics22:–,.
Cross-Reference
MusculoskeletalImaging:THEREQUISITES,3rded,pp–.
Comment
Therearemanydifferentcausesofanklepain.Impingementsyndromesdescribeagroupofpainproducingdisordersstemmingfromconditionsthatarecausedbyabnormalosseousorligamentousmorphologyincludingcongenitalanomalies,aswellasthosethatareacquiredsuchasosteophytosis,ligamenthypertrophy,andarthrofibrosis.Anteriorankleimpingementischaracterizedbypainwithdorsiflexionandmaybecausedbyanteriortibialosteophytesandtractionspursonthedorsaltalarneck.Inanterolateralankleimpingement,painwithdorsiflexionoccursowingtosofttissuefibrosis,synovitis,andcartilageinjuryintheanterolateraltibiotalarjoint.Thereisoftenhyalinizationoftheanterolateralsofttissues,whichbe北京白癜风的最好医院北京治疗白癜风
