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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(04): 419-426
DOI: 10.4103/ijri.IJRI_77_16
Musculoskeletal

Magnetic resonance imaging of ankle ligaments: A pictorial essay

Yogini Nilkantha Sawant
Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
,
Darshana Sanghvi
Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
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Subject Editor: Financial support and sponsorship Nil.
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Abstract

Ankle trauma is commonly encountered and is most often a sprain injury affecting the ligaments. Accurate diagnosis and appropriate treatment rest on knowledge of complex ligamentous anatomy of ankle and the entire spectrum of pathologies. Magnetic resonance imaging (MRI) is the imaging modality of choice for diagnosing ligament pathologies because of its multiplanar capability and high soft tissue contrast. With MRI, it is possible to triage and attribute the cause of post traumatic ankle pain to bone, ligament, or tendon pathologies, which otherwise overlap clinically. In this pictorial essay, emphasis is given to the intricate and unique anatomy and orientation of ankle ligaments. Pathologies of ankle ligaments have been elaborated.

Keywords

Ankle ligaments - magnetic resonance imaging - sprain - tear


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Park HJ, Lee SY, Park NH, Kim E, Chung EC, Kook SH. et al. Usefulness of the oblique coronal plane in ankle MRI of the calcaneofibular ligament. Clin Radiol 2015; 70: 416-23
    CrossrefPubMedGoogle Scholar
  • 2 Dattani R, Patnaik S, Kantak A, Srikanth B, Selvan TP. Injuries to the tibiofibular syndesmosis. J Bone Joint Surg Br 2008; 90: 405-10
    CrossrefPubMedGoogle Scholar
  • 3 Hermans JJ, Ginai AZ, Wentink N, Hop WC, Beumer A. The additional value of an oblique image plane for MRI of the anterior and posterior distal tibiofibular syndesmosis. Skeletal Radiol 2011; 40: 75-83
    CrossrefPubMedGoogle Scholar
  • 4 Hodgson RJ, O’Connor PJ, Grainger AJ. Tendon and ligament imaging. Br J Radiol 2012; 85: 1157-72
    CrossrefPubMedGoogle Scholar
  • 5 Dubin JC, Comeau D, McClelland RI, Dubin RA, Ferrel E. Lateral and syndesmotic ankle sprain injuries: A narrative literature review. J Chiropr Med 2011; 10: 204-19
    CrossrefPubMedGoogle Scholar
  • 6 Purcell SB, Schuckman BE, Docherty CL, Schrader J, Poppy W. Differences in ankle range of motion before and after exercise in 2 tape conditions. Am J Sports Med 2009; 37: 383-9
    CrossrefPubMedGoogle Scholar
  • 7 Boruta PM, Bishop JO, Braly WG, Tullos HS. Acute lateral ankle ligament injuries: A literature review. Foot Ankle 1990; 11: 107-13
    CrossrefPubMedGoogle Scholar
  • 8 Choo HJ, Suh JS, Kim SJ, Huh YM, Kim MI, Lee JW. et al. Ankle MRI for anterolateral soft tissue impingement: Increased accuracy with the use of contrast-enhanced fat-suppressed 3D-FSPGR MRI. Korean J Radiol 2008; 9: 409-15
    CrossrefPubMedGoogle Scholar
  • 9 Kumai T, Takakura Y, Rufai A, Milz S, Benjamin M. The functional anatomy of the human anterior talofibular ligament in relation to ankle sprains. J Anat 2002; 200: 457-65
    CrossrefPubMedGoogle Scholar
  • 10 Hintermann B, Knupp M, Pagenstert GI. Deltoid ligament injuries: Diagnosis and management. Foot Ankle Clin 2006; 11: 625-37
    CrossrefPubMedGoogle Scholar
  • 11 Waterman BR, Belmont Jr. PJ, Cameron KL, Svoboda SJ, Alitz CJ, Owens BD. et al. Risk factors for syndesmotic and medial ankle sprain: Role of sex, sport, and level of competition. Am J Sports Med 2011; 39: 992-8
    CrossrefPubMedGoogle Scholar
  • 12 Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med 1991; 19: 294-8
    CrossrefPubMedGoogle Scholar
  • 13 Norkus SA, Floyd RT. The anatomy and mechanisms of syndesmotic ankle sprains. J Athl Train 2001; 36: 68-73
    PubMedGoogle Scholar
  • 14 Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H. MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol 2004; 182: 131-6
    CrossrefPubMedGoogle Scholar
  • 15 Takao M, Ochi M, Naito K, Iwata A, Kawasaki K, Tobita M. et al. Arthroscopic diagnosis of tibiofibular syndesmosis disruption. Arthroscopy 2001; 17: 836-43
    CrossrefPubMedGoogle Scholar
  • 16 Imhauser CW, Siegler S, Udupa JK, Toy JR. Subject-specific models of the hindfoot reveal a relationship between morphology and passive mechanical properties. J Biomech 2008; 41: 1341-9
    CrossrefPubMedGoogle Scholar
  • 17 Ziai P, Benca E, Wenzel F, Schuh R, Krall C, Auffahrt A. et al. Peroneal tendinosis as a predisposing factor for the acute lateral ankle sprain in runners. Knee Surg Sports Traumatol Arthrosc 2016; 24: 1175-9
    CrossrefPubMedGoogle Scholar
  • 18 Karlsson J, Wiger P. Longitudinal split of the peroneus brevis tendon and lateral ankle instability: Treatment of concomitant lesions. J Athl Train 2002; 37: 463-6
    PubMedGoogle Scholar
  • 19 Hintermann B. Biomechanics of the unstable ankle joint and clinical implications. Med Sci Sports Exerc 1999; 31: S459-69
    CrossrefPubMedGoogle Scholar
  • 20 Deland JT, de Asla RJ, Sung IH, Ernberg LA, Potter HG. Posterior tibial tendon insufficiency: Which ligaments are involved?. Foot Ankle Int 2005; 26: 427-35
    CrossrefPubMedGoogle Scholar