介绍
急性创伤性跖屈过度事件，伴有深部后踝疼痛，因强迫跖屈而加重。 强迫背屈也会引起疼痛。
患者数据
年龄：25岁
性别：男
MRI
突出的Stieda突对踝关节后部的撞击
Axial
STIR
突出的Stieda突对踝关节后部的撞击
Axial
T1
突出的Stieda突对踝关节后部的撞击
Sagittal
STIR
突出的Stieda突对踝关节后部的撞击
Sagittal
T1
突出的Stieda突对踝关节后部的撞击
Sagittal
T2
MRI right ankle
突出的斯蒂达突伴有适度的骨水肿。 胫骨背侧还有一个小的骨赘，伴有一些关节积液和拇长屈肌腱鞘炎。
否则正常。
案例讨论
Stieda 突（距骨后突外侧结节延长）和邻近距骨的骨髓水肿与后踝撞击综合征相关。
参考
Keceli M. Posterior ankle impingement syndrome and os trigonum relationship in children. North Clin Istanb. 2022 Feb 8;9(1):23-29. doi: 10.14744/nci.2021.22587. PMID: 35340317; PMCID: PMC8889212.
Baillie P, Cook J, Ferrar K, Smith P, Lam J, Mayes S. Magnetic resonance imaging findings associated with posterior ankle impingement syndrome are prevalent in elite ballet dancers and athletes. Skeletal Radiol. 2021 Dec;50(12):2423-2431. doi: 10.1007/s00256-021-03811-x. Epub 2021 May 19. PMID: 34013446.
Abeer Mohamed Al-Riyami, Hsien Khai Tan, Wilfred C.G. Peh, Imaging of Ankle Impingement Syndromes, Canadian Association of Radiologists Journal, Volume 68, Issue 4, 2017, Pages 431-437, ISSN 0846-5371, https://doi.org/10.1016/j.carj.2017.04.001. (https://www.sciencedirect.com/sc ... i/S0846537117300542)
Ana Luísa Lourenço1, Cristina Roque Ferreira2, Daniel Ramos Andrade2, Ângela Marques1 (1) Centro Hospitalar Lisboa Central - Hospital dos Capuchos; Alameda Santo António dos Capuchos 1169-050 Lisboa, Portugal; (2) Centro Hospitalar e Universitário de Coimbra; Quinta dos Vales, São Martinho do Bispo 108, 3041-801 Coimbra, Portugal. DOI: 10.1594/EURORAD/CASE.16100 ISSN: 1563-4086 |
