摘要
目的探讨跗骨窦损伤患者MRI检查表现类型及与踝关节韧带损伤的关联性,为临床诊断跗骨窦病变提供更为可靠的依据。方法选取跗骨窦发生损伤的230例患者MRI踝关节平扫图像,其中男性124例,女性106例,观察跗骨窦损伤类型及踝关节韧带的损伤情况,并分析其规律及关联性。结果1)跗骨窦损伤的主要类型有跗骨窦韧带损伤、滑膜/腱鞘囊肿、积液、跗骨窦纤维化。跗骨窦韧带损伤包括颈韧带(CL)、距跟骨间韧带(ITCL)前、后束、伸肌下支持带(IER),其中ITCL前束损伤率最高,接着依次是CL、IER、ITCL后束。2)①CL、ITCL前束损伤呈正相关(r=0.318);②CL、IER损伤呈正相关(r=0.438);③ITCL前束、后束损伤呈正相关(r=0.353)。3)CL损伤时合并距腓前韧带(ATFL)损伤最多,为68.2%,三角韧带(TRL)损伤次之,为33.3%,然后是跟腓韧带(CFL)损伤,为30.3%;ITCL前束损伤时合并ATFL损伤最多,为70.0%,TRL损伤次之,为35.7%,然后是CFL损伤,为21.4%;ITCL后束损伤时合并ATFL损伤最多,为64.6%,TRL损伤次之,为29.2%,然后是CFL损伤,为16.7%。IER损伤时合并ATFL损伤最多,为63.6%,TRL损伤次之,为30.9%,然后是CFL损伤,为16.4%。结论跗骨窦损伤患者MRI检查表现可有多种类型,跗骨窦韧带中ITCL前束、CL较多发生损伤,多为多条同时损伤也可以是单独一条损伤。在ATFL、CFL,TRL损伤时要注意观察跗骨窦。
Objective To explore the correlation between the manifestations of patients with tarsal sinus injury on MRI images and ankle ligament injury,so as to provide a more reliable basis for clinical diagnosis of tarsal sinus lesions.Methods 230 patients with tarsal sinus injury were retrospectively collected,of whom 124 were males,with an average age of 41.7±15.9 years,and 106 were females,with an average age of 48.9±14.5 years old.Ankle joint MRI plain scan images were obtained to observe the injury type of tarsal sinus and ankle ligament,and its rule and correlation was analyzed.Results 1)The main types of tarsal sinus injury were tarsal sinus ligament injury,synovium/ganglion cyst,effusion and tarsal sinus fibrosis.Injuries of tarsal sinus ligaments included cervical ligaments(CL),anterior and posterior tracts of intercalcaneal ligaments(ITCL),and subextensor retinae(IER),among which the anterior tracts of ITCL had the highest injury rate,followed by CL,IER,and posterior tracts of ITCL.2)①There was a positive correlation between CL and ITCL anterior bundle damage(r=0.318);②CL and IER damage were positively correlated(r=0.438);③There was a positive correlation between anterior and posterior ITCL damage(r=0.353).3)The injuries associated with anterior talofibular ligament(ATFL)were 68.2%,followed by deltoid ligament(TRL)and calcaneal fibular ligament(CFL),with 33.3% and 30.3%,respectively.In ITCL anterior bundle injury,ATFL injury was 70.0%,followed by TRL that the injury was 35.7%,and then CFL injury was 21.4%.In ITCL posterior bundle injury,ATFL injury was the highest in 64.6%,followed by TRL injury in 29.2% and CFL injury in 16.7%.ATFL lesions were the most common in IER injuries(63.6%),followed by TRL injuries(30.9%)and CFL injuries(16.4%).Conclusion MRI manifestations of tarsal sinus injury can be of various types.In the ligament of tarsal sinus,ITCL anterior bundle and CL are mostly injured,which are mostly multiple simultaneous injuries or a single injury.In the case of ATFL,CFL,TRL injury,attention should be paid to the sinus tarsi.
作者
王志炜
万业达
郑敏文
WANG Zhiwei;WAN Yeda;ZHENG Mimwen(Department of Radiology,The First Affiliated Hospital of the Air Force Medical University,Xian 710000,China;Department of Radiology,Tianjin Hospital of Tianjin,Tianjin 300000,China)
出处
《医学影像学杂志》
2024年第1期96-99,共4页
Journal of Medical Imaging
关键词
踝关节
跗骨窦
跗骨窦综合征
磁共振成像
Ankle joint
Tarsal sinus
Tarsal sinus syndrome
Magnetic resonance imaging
作者简介
王志炜(1994-),男,医学硕士,住院医师,主要从事放射诊断工作;通信作者:郑敏文,Email:zhengmw2007@163.com。
