MRI INVESTIGATION OF THE LATERAL GROUP OF LIGAMENTS IN THE ANKLE JOINT AND DISTAL TIBIOFIBULAR SYNDESMOSIS IN YOUNG AGE PATIENTS
DOI:
https://doi.org/10.11603/2415-8798.2019.1.9961Keywords:
ankle joint, ligament damage, distal tibiofibular syndesmosis, anatomy, MRI, traumaAbstract
The ankle joint is most commonly injured in the lower limb joints. It is believed that damage to the ankle joint occurs in 1 person per 10,000 inhabitants per day. In most cases it is the injury of side ligaments of ankle joint which accounts for up to 95 % of all joint injuries, while fractures of the malleoli in about 15 % of cases. Damage to the distal tibiofibular syndesmosis in most cases occurs when the fractures are type B and C (according to the classification of AO). Assessment of the degree of damage to the link is based on the results of clinical examination, sonography, radiography, and in some cases, CT and MRI studies. Increasing the resolution of MRI devices, improving the methodology for conducting research leads to a renewed interest in the study of unchanged structures of the joints, including the ankle joint of different age groups.
The aim of the study – to demonstrate the possibility of high-level (1.5 Tesla) magnetic resonance imaging in the diagnosis of unchanged lateral collateral ligaments and distal tibiofibular syndesmosis of young people.
Materials and Methods. 12 volunteers from the young age participated in the study, of which 8 men and 4 women. The average age of the patients was (19.3±2.16) years. The research was carried out on a high-voltage 1.5-unit magnetic resonance tomography "Siemens Magnetom Avanto".
Results and Discussion. The anterior talofibular and posterior talofibular ligaments were revealed in 100 % of the studies of the ankle joint in the axial plane. The posterior talofibular ligament has been identified in all studies in the frontal plane. Calcaneofibular ligament was detected in 67 % of the axial and 83 % in the coronal plane. The anterior and posterior tibiofibular ligaments of the syndesmosis, as a rule, were clearly visible on two or more consecutive axial and frontal images. Interosseous ligament was observed in 75 % of cases and consisted of more than two bundles of fibers.
Conclusions. The area of the ankle joint is a complex topographic and anatomical object. Images obtained by magnetic resonance imaging of this area have many features. Studying MRI data the relationship of ankle joint in young people having no traumatic history, allows us to form a category of their visual norm with a differential goal.
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