TY - JOUR T1 - Ayak Bileği İmpingement Sendromu Olgularında Direkt Grafi ve Manyetik Rezonans Görüntüleme Bulgularının Kontrol Grubu ile Korelasyonu TT - Correlatıon Between Direct Graph And Magnetic Resonance Imaging of Control Group and Ankle Impıngement Syndromes AU - Çevik, Halime AU - Saydam, Necip Bülend PY - 2018 DA - August Y2 - 2018 DO - 10.30569/adiyamansaglik.434533 JF - Adıyaman Üniversitesi Sağlık Bilimleri Dergisi JO - ADYÜ Sağlık Bilimleri Derg PB - Adıyaman Üniversitesi WT - DergiPark SN - 2458-9179 SP - 922 EP - 938 VL - 4 IS - 2 LA - tr AB - Amaç: Ayak bileğiimpingement sendromu (ABİS), genellikle gerilme veya travma sonrası,profesyonel atletlerde ve gençlerde aktivite sırasında gelişen kronik ağrıylakarakterizedir. Ağrının nedeni tibia iletalus arasında yumuşak doku veya kemiğin sıkışmasıdır. Çalışmamızın amacı, ABİSolgularında osteofitlerin gösterilmesinde direkt grafi (DR) ve ManyetikRezonans Görüntüleme (MRG)’nin etkinliğinin karşılaştırılmasıdır. Ayrıcatibiotalar ve talonaviküler eklem değişiklikleri araştırılmıştır. Gereç veYöntem: Çalışmamız retrospektiftir. Mayıs2004-Şubat 2006 tarihlerinde, Fatih Sultan Mehmet Eğitim ve Araştırma HastanesiRadyoloji Kliniği’ne, ABİS tanısıyla radyolojik tetkik istemi yapılmış 28hastaya ait 30 ayak bileği ile kontrol grubu olarak ABİS tanısı olmayan 20hastanın 20 ayak bileği dahil edildi.Olgulara anteriorposterior (AP) ve lateral DR ile MRG incelemesiyapılmıştır. Bulgular: DR’de osteofitlokalizasyon 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 dağılımlarıgruplara göre anlamlı farklılık göstermekte (p<0,01) olup, anterolateralosteofitlerin tamamı ABİS olgularında görüldü. Kontrol grubunda osteofitgörülme oranı düşüktür. ABİS’de osteofit lokalizasyonları, DR ile MRGkarşılaştırıldığında, istatistiksel olarak anlamlı ilişki gözlendi(r:0,779;p<0,01). ABİS’de talonaviküler ve tibiotalar eklemlerde, kontrolgrubunda ise sadece talonaviküler eklemde osteoartroz bulguları saptandı. Sonuç: Çalışmamızda ABİS olgularında MRG, DR’egöre osteofit saptanması ve lokalizasyonlarını göstermede daha etkilibulunmuştur. Prognozu belirleyen tibiotalar eklem artrozu MRG erken evredesaptanabilmektedir. Buna göre, ABİS erken tanı ve tedavisinde MRG katkısağlamaktadır. KW - Ayak bileği KW - impingement sendromu KW - Manyetik Rezonans Görüntüleme KW - Direkt Radyografi N2 - Aim: Impingement syndromes (ABIS) arecharacterized by chronic pain, during activity in professional athletes andyoung people. The cause of the pain ABIS the compression of soft tissue or bonebetween the tibia and the talus. The aim of our study ABIS to compare the efficacyof direct radiographs (DR) and magnetic resonance imaging (MRG) examinations inrevealing osteophytes in cases with ABİS. Tibiotalar and talonavicular jointchanges in the case of ABİS were investigated.Material-Method: The studywas retrospectively at Fatih Sultan Mehmet Training and Research HospitalRadiology Clinic. The study was included 30 ankles of 28 patients who werediagnosed with ABİS and a control group of 20. The ankles were subjected to MRGexamination with standard AP and lateral DR.Results: In DR, distributionaccording to osteophyte localizations showed statistically difference (p<0.05);the incidence of anterolateral and posterior localization was higher in the ABISgroup.In MRG; of impingement group (83%) and control group (35%) osteophyteswere observed. The distribution of osteophyte localizations on MRG, showed astatistically difference between the groups (p<0,01). All cases ofanterolateral localizations are observed in the patient group. When DR and MRGwere compared and the relationship status between the osteophyte localisationwere examined in the impingement group, a statistically relationship wasobserved (r:0,779;p<0,01). Findings of osteoarthros ABİS were observed inthe talonavicular and tibiotalar joint of impingement; only talonavicular jointin the control group.Coclusion: MRGwas found to be more effective than DR, in detecting and localizing osteophytesin cases with ABİS. The tibiotalar joint arthrosis that determines the prognosABİS is detected early stage by MRG, increasing the possibility of treatment inABİS. Accordingly, ABIS provides early diagnosis and treatment ofMRI. CR - 1. Henderson I, Valette DL. Ankle İmpingement: Combined Anterior and Posterior İmpingement Sydrome of the Ankle. Foot Ankle Int. 2004 Sep;25(9):632-8. CR - 2. Tol JL; Verhagen RAW; Krips R et al. The Anterior Ankle İmpingement Syndrome: Diagnostic Value of Oblique Radiographs. Foot Ankle İnt 2004 Feb;25(2): 63-68. CR - 3. Robinson P, White LM, Salonen DC, et al. Anterolateral Ankle İmpingement: MRI Arthrographic Assessment of the Anterolateral Recess. Radiology 2001; 221(1); 186-190. 4. Farooki S, Yao L, Seeger LL. Anterolateral İmpingement of the Ankle: Effectiveness of MRI İmaging. Radiology 1998; 207: 357-360. 5. Robinson P, White LM. Soft-Tissue and Osseous İmpingement Syndromes of the Ankle: Role of Imaging in Diagnosis and Management. Radiographics 2002; 22(6);1457-1471. CR - 6. Stoller DW. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine 1997. CR - 7. Rosenberg ZS, Beltran J and Bercardino JT. MRI İmaging of the Ankle and Foot.Radiographics, 2000; 20; S153- S179. DOI:10.1148/radiographics.20.suppl_1.g00oc26s153 CR - 8. Cerezal L, Abascal F, Canga A, et al. MRI İmaging of Ankle İmpingement Syndromes. AJR Am J Roentgenol. 2003 Aug;181(2):551-559. 9. Tol JL, Verheyen CPPM, Van Dijik CN. Artroscopic treatment of anterior impingement in the ankle; a prospective study with a five to eight year follow up. J Bone Joint Surg Br 2001; 83(1); 9-13. CR - 10. Schweitzer ME, Leersum M, Erhlich SS et al. Fluid in Normal and Abnormal Ankle Joints: Amount and Distributions as seen on MRI images. AJR Am J Roentgenol. 1994 Jan;162(1):111-4. CR - 11. 11. Schwitzer ME, Magbalon MJ, Fenlin JM et al. Effusion Criteria and Clinical Importance of GlenohuMRIeal Jonint Fluid: MRI Imaging Evolution. Radiology. 1995 Mar;194(3):821-4. CR - 12. 12. Tol JL, van Dijk CN. Etiology of the Anterior Ankle İmpingement Sydrome: A Descriptive Anatomical Study. Foot Ankle Int. 2004 Jun;25(6):382-6. 13. Donald Resnick. Talar Ridges, Osteophytes and Beaks: A Radiologic Commentary. Radiology. 1984 May;151(2):329-32. CR - 14. Berberian WS, Hecht PJ, Wapner KL et al. Morphology of Tibiotalar Osteophytese in Anterior Ankle İmpingement. Foot Ankle Int. 2001 Apr;22(4):313-7. CR - 15. Bureau NJ, Cardinal E, Hobden R, et al. Posterior Ankle İmpingement Syndrome: MRI İmaging Findings in Seven Patients. Radiology. 2000;215(2):497-503. CR - 16. Lee JW, Suh JS, Huh YM, et al. Soft Tissue İmpingement Syndrome of the Ankle: Diagnostic Efficacy of MRII and Clinical Results after Artroscopic Treatment. Foot Ankle Int. 2004 Dec;25(12):896-902. CR - 17. Umans H. Ankle impengement syndromes. Semin Musculoskelet Radiol. 2002 Jun;6(2):133-39. CR - 18. Liu SH, Raskin A, Osti L, et al. Arthroscopic teatment of anterolateral ankle impingement. Arthroscopy. 1994 Apr;10(2):215-8. CR - 19. Masciocchi C, Catalucci A, Barile A. Ankle İmpingement Syndromes. Eur J Radiol. 1998 May;27 Suppl 1:S70-3. PM CR - 20. Ferkel RD and Fischer SP. Progress in ankle arthroscopy. Clin Orthop Relat Res. 1989 Mar;(240):210-20. 21. Liu SH, Raskin A, Osti L, et al. Arthroscopic treatment of ankle impingement. Arthroscopy. 1994 Apr;10(2):215-8. CR - 22. Beynnon BD, Murphy DF, Alosa DM. Predictive Factors for Lateral Ankle Sprains: A Literature Review. J Athl Train. 2002 Dec;37(4):376-380. 23. Stoller SM, Hekmat F, Kleiger B. A comparative study of the ferquency of anterior impingement exostoses of the ankle in dancers and nondancers. Foot Ankle. 1984. Jan-Feb; 4(4); 201-3. Foot Ankle. 1984;4(4):201-3. CR - 24. Peterfy CG, Guermazi A, Zaim S, Tirman PF, Miaux Y, White D, et al. Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthritis Cartilage 2004. CR - 25. John S, Mendicino RW, Catanzariti AR. Mastering Ankle Impinegement Syndromes. Podiatry Today. 2007.20 (8);52-60. UR - https://doi.org/10.30569/adiyamansaglik.434533 L1 - https://dergipark.org.tr/tr/download/article-file/521525 ER -