Detection of Tram Track Lesion in the Ankle Joint; A Comparative Study of Magnetic Resonance Imaging with Ankle Arthroscopy:

Foot & Ankle Orthopaedics

Dong-WooShim¹ 

关键词: Ankle;    Tram track lesion;    Arthroscopy;    Magnetic resonance imaging;    Detection;   

DOI  :  10.1177/2473011417S000371

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, ArthroscopyIntroduction/Purpose:Tram track lesion in the ankle joint has been occasionally found during the ankle arthroscopy and there has been few studies relating the pathophysiology, diagnostic method and treatment of the lesion. This study aimed to show the effectiveness of magnetic resonance imaging (MRI) for detection of tram track lesion in the ankle joint comparing with ankle arthroscopy.Methods:We retrospectively assessed 175 ankles in 170 patients with anterior bony impingement syndrome in the ankle who underwent arthroscopic surgery between January 2013 and July 2015. Anterior ankle bony spurs were scored in preoperative weight-bearing radiographs using the impingement classification. MRIs were reviewed for the detection of tram track lesions according to our definition (focal high signal intensity along the talar dome cartilage surface on coronal view), which were then compared with arthroscopic findings. The grade of cartilage defect was stratified according to international ...

【 授权许可】

CC BY