MR-imaging of anterior tibiotalar impingement syndrome: Agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography

Haller, Jörg; Bernt, Reinhard; Seeger, T; Weissenbäck, Alexander; Tüchler, Heinrich; Resnick, Donald

doi:10.1016/j.ejrad.2006.03.008

Cited by 49 publications

(12 citation statements)

References 19 publications

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“…Tibial osteophytes and especially soft-tissue causes are also recognized as important in the pathogenesis of ankle impingement [3,7,26,27]. We were unable to assess these two entities because of lack of access to the tibial counterparts of the talus bone specimens and insufficient clinical data on the cadavers.…”

Section: Discussionmentioning

confidence: 99%

Anterior Ankle Impingement and Talar Bony Outgrowths: Osteophyte or Enthesophyte? Paleopathologic and Cadaveric Study With Imaging Correlation

Hayeri

Trudell

Resnick

2009

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 99%

Anterior Ankle Impingement and Talar Bony Outgrowths: Osteophyte or Enthesophyte? Paleopathologic and Cadaveric Study With Imaging Correlation

Hayeri

Trudell

Resnick

2009

American Journal of Roentgenology

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“…Further evaluation can be performed with MRI, which can help localize the bone spurs and further characterize the synovial thickening. 36 MRI can also be particularly useful to visualize intra-articular fibrous bands and identify soft-tissue pathology, if present. A prospective study evaluating MRI in the setting of chronic ankle pain noted only modest sensitivity and specificity for anterior tibial osteophytes (67% and 78%, respectively), although it had high a sensitivity (89%) for synovitis, capsular thickening, scar and granulation tissue.…”

Section: Imaging Characteristicsmentioning

confidence: 99%

Ankle impingement syndromes: an imaging review

Berman¹,

Tafur²,

Ahmed³

et al. 2017

The British Journal of Radiology

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Ankle impingement syndromes encompass a broad spectrum of post-traumatic and chronic degenerative changes that present with pain on specific movements about the ankle joint. Both amateur and professional athletes are disproportionately affected by these conditions, and while conservative measures can potentially treat an impingement syndrome, definitive therapy is often alleviated surgically. Imaging (including conventional radiography, ultrasound, CT and MRI) plays an invaluable role in the diagnosis and pre-surgical work-up. An anatomically based classification system is useful in these syndromes, as the aetiology, sites of pathology and preferred treatment methods are similarly based on anatomic locations about the ankle. This review focuses on the anatomic locations, pathophysiology, imaging considerations and brief discussion of therapies for each of the major anatomic ankle impingement syndromes.

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“…The sensitivity of plain radiographs for diagnosing the intra-/juxta-articular OO of the talar neck is reportedly as low as 61.5% [5]. MRI presentation in an impingement syndrome includes synovitis, joint effusion, and bone marrow effusion of the areas of impact, which is difficult to discriminate from those of intra-articular OO [12]. CT has higher sensitivity than MRI, typically demonstrating a low attenuation nidus with focal central calcification and surrounding sclerosis which could not be shown clearly in MRI [5, 13].…”

Section: Discussionmentioning

confidence: 99%

Anterior Impingement Syndrome of the Ankle Caused by Osteoid Osteoma in the Talar Neck Treated with Arthroscopy and 3D C-Arm-Based Imaging

Ikegami

Matsumoto

Chang

et al. 2017

Case Reports in Orthopedics

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Osteoid osteoma in periarticular lesions tends to have an unusual presentation that likely leads to a delayed or missed diagnosis compared with a typical osteoid osteoma in the metaphysis or diaphysis of the long bone. In cases that are unresponsive to conservative treatment, surgical interventions including en bloc resection, computed tomography-guided percutaneous treatment, and arthroscopic resection have been performed; however, these methods frequently result in inadequate tumor resection and recurrence. Here we present a case of a 16-year-old girl with osteoid osteoma in the talar neck presenting as anterior impingement syndrome due to marked synovitis in the ankle joint which was successfully treated without complications by arthroscopic synovectomy and tumor resection followed by intraoperative 3D C-arm-based imaging confirming complete tumor lesion removal. Her pain was relieved immediately after the surgery, and there was no recurrence at 12 months of follow-up. This is the first case report of the surgical treatment of the osteoid osteoma in the talar neck with the combination methods of arthroscopy and 3D C-arm-based imaging.

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MR-imaging of anterior tibiotalar impingement syndrome: Agreement, sensitivity and specificity of MR-imaging and indirect MR-arthrography

Cited by 49 publications

References 19 publications

Anterior Ankle Impingement and Talar Bony Outgrowths: Osteophyte or Enthesophyte? Paleopathologic and Cadaveric Study With Imaging Correlation

Anterior Ankle Impingement and Talar Bony Outgrowths: Osteophyte or Enthesophyte? Paleopathologic and Cadaveric Study With Imaging Correlation

Ankle impingement syndromes: an imaging review

Anterior Impingement Syndrome of the Ankle Caused by Osteoid Osteoma in the Talar Neck Treated with Arthroscopy and 3D C-Arm-Based Imaging

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