MRI诊断后踝关节疼痛的病因

摘要

Posterior ankle pain is one of the most common intractable pain,whose etiology is diverse and difficult to diagnose.The causes of posterior ankle pain usually include posterior subtalar tarsal coalition,medial flexor tendon pathology,peroneal pathology,tendon pathology,Haglund syndrome,posterior ankle impingement syndrome,sinus tarsi pathology and tarsal tunnel syndrome.MRI can not only be used to evaluate the superficial soft tissue and deep ligaments and tendons,but also is suitable for showing bone marrow edema and bone contusion,therefore being the first choice for diagnosis of posterior ankle pain.Research progresses of MRI for diagnosis of etiology of posterior ankle pain were reviewed in this paper.%后踝关节疼痛是临床常见的顽固性疼痛之一,其病因多样,诊断复杂.通常引起后踝疼痛的原因有跟距跗骨桥、胫骨后和内侧屈肌腱病变、腓骨肌腱和腓骨上支持带病变、跟腱病变、Haglund综合征、后踝撞击综合征、跗骨窦病变和跗管综合征.MRI不仅可以评估浅表软组织及深层的韧带、肌腱,还可以显示骨髓水肿及骨挫伤,是后踝关节疼痛首选的检查方法.本文对MRI诊断后踝关节疼痛病因的研究进展进行综述.