Persistent ankle pain following a sprain: A review of imaging

被引：13
作者：
Mansour R. [1 ]
Jibri Z. [1 ]
Kamath S. [1 ]
Mukherjee K. [1 ]
Ostlere S. [2 ]
机构：
[1] Department of Radiology, University Hospital of Wales
[2] Department of Radiology, Nuffield Orthopaedic Centre
来源：
Emergency Radiology | 2011年 / 18卷 / 3期
关键词：
Ankle pain; Ankle sprain; MRI; Ultrasound;
D O I：
10.1007/s10140-011-0945-8
中图分类号：
学科分类号：
摘要：
The initial diagnosis of an "ankle sprain" is not always correct. Prolonged pain, swelling and disability sufficient to limit the activity and refractory to treatment following an ankle injury are not typical of an ankle sprain and should alert the clinician of the possibility of an alternative or an associated diagnosis. There are several conditions that can be misdiagnosed as an ankle sprain and those include ankle syndesmosis injuries, sinus tarsi syndrome, ankle and hind foot fractures, osteochondral lesions, posterior tibialis and peroneal tendons abnormalities, spring ligament damage, impingement syndromes and reflex sympathetic dystrophy. In this review, we discuss the imaging features of these conditions that can clinically mimic an ankle sprain. It is crucial to remember that unresolved ankle pain following an injury is not always just due to a "sprain". © 2011 Am Soc Emergency Radiol.
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页码：211 / 225
页数：14
相关论文
共 79 条
  • [1] Kannus P., Renstrom P., Treatment for acute tears of the lateral ligaments of the ankle. Operation, cast, or early controlled mobilization, J Bone Joint Surg Am, 73, 2, pp. 305-312, (1991)
  • [2] Birrer R.B., Fani-Salek M.H., Totten V.Y., Herman L.M., Politi V., Managing ankle injuries in the Emergency Department, Journal of Emergency Medicine, 17, 4, pp. 651-660, (1999)
  • [3] Renstrom P.A., Persistently painful sprained ankle, J Am Acad Orthop Surg, 2, 5, pp. 270-280, (1994)
  • [4] Rubin A., Sallis R., Evaluation and diagnosis of ankle injuries, American Family Physician, 54, 5, pp. 1609-1618, (1996)
  • [5] Chandnani V.P., Harper M.T., Ficke J.R., Et al., Chronic ankle instability: Evaluation with MR arthrography, MR imaging, and stress radiography, Radiology, 192, 1, pp. 189-194, (1994)
  • [6] Milz P., Milz S., Steinborn M., Mittlmeier T., Putz R., Reiser M., Lateral ankle ligaments and tibiofibular syndesmosis. 13-MHz high-frequency sonography and MRI compared in 20 patients, Acta Orthop Scand, 69, 1, pp. 51-55, (1998)
  • [7] Brostrom L., Sprained ankles III. Clinical observations in recent ligament ruptures, Acta Chir Scand, 130, pp. 560-569, (1965)
  • [8] Frost S.C., Amendola A., Is stress radiography necessary in the diagnosis of acute or chronic ankle instability?, Clin J Sport Med, 9, 1, pp. 40-45, (1999)
  • [9] Muhle C., Frank L.R., Rand T., Et al., Collateral ligaments of the ankle: High-resolution MR imaging with a local gradient coil and anatomic correlation in cadavers, Radiographics, 19, 3, pp. 673-683, (1999)
  • [10] Oae K., Takao M., Uchio Y., Ochi M., Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging, Skeletal Radiol, 39, 1, pp. 41-47, (2010)
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