Ayak Bileği İmpingement Sendromu Olgularında Direkt Grafi ve Manyetik Rezonans Görüntüleme Bulgularının Kontrol Grubu ile Korelasyonu

Yıl 2018, Cilt: 4 Sayı: 2, 922 - 938, 15.08.2018

Halime Çevik Necip Bülend Saydam

https://doi.org/10.30569/adiyamansaglik.434533

Öz

Amaç: Ayak bileği
impingement sendromu (ABİS), genellikle gerilme veya travma sonrası,
profesyonel atletlerde ve gençlerde aktivite sırasında gelişen kronik ağrıyla
karakterizedir.  Ağrının nedeni tibia ile
talus arasında yumuşak doku veya kemiğin sıkışmasıdır. Çalışmamızın amacı, ABİS
olgularında osteofitlerin gösterilmesinde direkt grafi (DR) ve Manyetik
Rezonans Görüntüleme (MRG)’nin etkinliğinin karşılaştırılmasıdır. Ayrıca
tibiotalar ve talonaviküler eklem değişiklikleri araştırılmıştır.

Gereç ve
Yöntem:  Çalışmamız retrospektiftir. Mayıs
2004-Şubat 2006 tarihlerinde, Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi
Radyoloji Kliniği’ne, ABİS tanısıyla radyolojik tetkik istemi yapılmış 28
hastaya ait 30 ayak bileği ile kontrol grubu olarak ABİS tanısı olmayan 20
hastanın 20 ayak bileği dahil edildi. 
Olgulara anteriorposterior (AP) ve lateral DR ile MRG incelemesi
yapılmıştır.

Bulgular: DR’de osteofit
lokalizasyon dağılımları istatistiksel farklılık göstermekte (p<0,05) olup,
anterolateral ve posteriorda görülme oranı ABİS grupta yüksekti. MRG’de ABİS’de
%83 ve kontrol grubunda %35 osteofit saptandı. MRG’de osteofit dağılımları
gruplara göre anlamlı farklılık göstermekte (p<0,01) olup, anterolateral
osteofitlerin tamamı ABİS olgularında görüldü. Kontrol grubunda osteofit
görülme oranı düşüktür. ABİS’de osteofit lokalizasyonları, DR ile MRG
karşılaştırıldığında, istatistiksel olarak anlamlı ilişki gözlendi
(r:0,779;p<0,01). ABİS’de talonaviküler ve tibiotalar eklemlerde, kontrol
grubunda ise sadece talonaviküler eklemde osteoartroz bulguları saptandı.

 Sonuç: Çalışmamızda ABİS olgularında MRG, DR’e
göre osteofit saptanması ve lokalizasyonlarını göstermede daha etkili
bulunmuştur. Prognozu belirleyen tibiotalar eklem artrozu MRG erken evrede
saptanabilmektedir. Buna göre, ABİS erken tanı ve tedavisinde MRG katkı
sağlamaktadır.  

Anahtar Kelimeler

Ayak bileği, impingement sendromu, Manyetik Rezonans Görüntüleme, Direkt Radyografi

Correlatıon Between Direct Graph And Magnetic Resonance Imaging of Control Group and Ankle Impıngement Syndromes

Öz

Aim: Impingement syndromes (ABIS) are
characterized by chronic pain, during activity in professional athletes and
young people. The cause of the pain ABIS the compression of soft tissue or bone
between the tibia and the talus. The aim of our study ABIS to compare the efficacy
of direct radiographs (DR) and magnetic resonance imaging (MRG) examinations in
revealing osteophytes in cases with ABİS. Tibiotalar and talonavicular joint
changes in the case of ABİS were investigated.

Material-Method: The study
was retrospectively at Fatih Sultan Mehmet Training and Research Hospital
Radiology Clinic. The study was included 30 ankles of 28 patients who were
diagnosed with ABİS and a control group of 20. The ankles were subjected to MRG
examination with standard AP and lateral DR.

Results: In DR, distribution
according to osteophyte localizations showed statistically difference (p<0.05);
the incidence of anterolateral and posterior localization was higher in the ABIS
group.In MRG; of impingement group (83%) and control group (35%) osteophytes
were observed. The distribution of osteophyte localizations on MRG, showed a
statistically difference between the groups (p<0,01). All cases of
anterolateral localizations are observed in the patient group. When DR and MRG
were compared and the relationship status between the osteophyte localisation
were examined in the impingement group, a statistically relationship was
observed (r:0,779;p<0,01). Findings of osteoarthros ABİS were observed in
the talonavicular and tibiotalar joint of impingement; only talonavicular joint
in the control group.

Coclusion: MRG
was found to be more effective than DR, in detecting and localizing osteophytes
in cases with ABİS. The tibiotalar joint arthrosis that determines the prognos
ABİS is detected early stage by MRG, increasing the possibility of treatment in
ABİS. Accordingly, ABIS provides early diagnosis and treatment of
MRI.

Anahtar Kelimeler

Ankle, impingement, Magnetic Rezonance Imaging, Radiography

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