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Postoperative Magnetresonanztomographie des Sprunggelenks

Postoperative MRI of the ankle

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Zusammenfassung

Klinisches/methodisches Problem

Die postoperative radiologische Bildgebung des Sprunggelenks kann auch für den erfahrenen Radiologen eine besondere Herausforderung darstellen. Die komplex aufgebaute Anatomie des Sprunggelenks, mit seinen multiplen Gelenkflächen, Sehnen, Bändern und neurovaskulären Strukturen auf engstem Raum, kann durch Operationen signifikant verändert und insbesondere in der Magnetresonanztomographie (MRT) verfälscht dargestellt werden.

Radiologische Standardverfahren

Für eine fundierte Befundung und Beurteilung der Operationsergebnisse ist die Kenntnis der präoperativen Diagnose, Zeitpunkt und Technik der durchgeführten Operation(en) sowie der aktuellen klinischen Symptomatik von großer Bedeutung.

Empfehlung für die Praxis

Dieser Artikel konzentriert sich auf zu erwartende radiologische Veränderungen und gibt Tipps zur Befundung der postoperativen MRT des Sprunggelenks bei einer Auswahl relevanter operativer Eingriffe. Zudem wird auf mögliche postoperative Komplikationen und ihre radiologische Darstellung hingewiesen

Abstract

Clinical/methodical issue

Postoperative imaging of the ankle can be challenging, even for the experienced radiologist. Pathological and postoperative changes to the primarily complex anatomy of the ankle with its great variety of bone structures, tendons, ligaments, and soft tissue in a very limited space may cause great difficulty in differentiating underlying pathology from expected postoperative changes and artifacts, especially in magnetic resonance imaging (MRI).

Standard radiological methods

Selecting the appropriate radiological modality is key to making the correct diagnosis. Therefore, knowledge of the initial and current symptoms is just as important as familiarity with the most frequently performed operations in the ankle.

Practical recommendations

This article aims to give its reader a summary of the most important and frequently performed operation techniques of the ankle and discusses the expected appearance and possible complications in postoperative imaging.

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Authors and Affiliations

  1. Rheinlandärzte, Bahnstraße 31, 47877, Willich, Deutschland

    M. Sharabianlou Korth &  L. B. Fritz MBA

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  1. M. Sharabianlou Korth
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Correspondence to L. B. Fritz MBA.

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M. Sharabianlou Korth und L.B. Fritz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Sharabianlou Korth, M., Fritz, L.B. Postoperative Magnetresonanztomographie des Sprunggelenks. Radiologe 57, 891–906 (2017). https://doi.org/10.1007/s00117-017-0306-z

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