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Ankle tenography: what, how, and why. | LitMetric

Ankle tenography: what, how, and why.

Semin Roentgenol

Department of Radiology, Musculoskeletal Section, University of Wisconsin, 600 Highland Ave, E3/311, Madison, WI 53792-3252, USA.

Published: January 2004

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http://dx.doi.org/10.1016/j.ro.2003.10.009DOI Listing

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Article Synopsis
  • This review investigates the prognosis of acute ankle sprains, specifically comparing outcomes between combined ruptures of the anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments versus isolated ATFL ruptures.
  • The study included nine papers, with five suitable for quantitative analysis, examining the relationship between ligament injury severity and the risk of chronic ankle instability over at least 12 months of follow-up.
  • Findings indicated no significant link between combined ligament injuries and chronic instability, but suggested that combined ruptures could lead to poorer clinical outcomes and a lower likelihood of returning to full sports activities.
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Background: Lateral hindfoot pain after union of a calcaneal fracture remains a challenge to orthopaedic surgeons. This study aimed to investigate the relationship between lateral calcaneal pain, calcaneal width and peroneal tendon sheath impingement in patients with lateral hindfoot pain.

Materials And Methods: Seventy-four consecutive patients with unilateral lateral hindfoot pain were identified from an institutional trauma registry.

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Purpose: To determine the precise anatomy and magnetic resonance (MR) imaging appearance of the chiasma crurale in cadavers, paying special attention to degenerative changes

Material And Methods: Twelve fresh human ankles were harvested from 11 nonembalmed cadavers (mean age at death 77 years) and used according to institutional guidelines. MR imaging and MR tenography were used to investigate the anatomy of the chiasma crurale using proton density-weighted sequences. The gross anatomy of the chiasma crurale was evaluated and compared to the MR imaging findings.

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Background: The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools for diagnosing posterior tibial tenosynovitis.

Methods: The authors reviewed the records of all patients with stage 1 posterior tibial tendon dysfunction between the dates of September 1, 2001, to November 21, 2004.

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A novel approach to flexor hallucis longus tenography.

AJR Am J Roentgenol

December 2006

Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd., St. Louis, MO 63110, USA.

Objective: This article presents a technically simple and more accurate approach to flexor hallucis longus (FHL) tenography than any we found reported in the literature.

Conclusion: Tenography is used to evaluate and treat tenosynovitis. Standard FHL tenography protocol involves either direct percutaneous access of the FHL synovial sheath posterior to the medial malleolus or indirect filling of the FHL sheath from an injection of the flexor digitorum longus (FDL) tendon sheath, which often communicates with the FHL tendon sheath.

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