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Foot Ankle Int. 2003 Aug;24(8):575-83.

Posterior tibiotalar ligament injury resulting in posteromedial impingement.

Author information

1
Medical Imaging Department, Cabrini Private Hospital, Malvern, Victoria, Australia.

Abstract

OBJECTIVE:

To describe the imaging features of the normal anatomy and injury of the posterior tibiotalar ligament (PTTL) of the ankle in a group of patients presenting with posteromedial impingement.

MATERIALS AND METHODS:

Twenty-five consecutive patients underwent imaging for posteromedial ankle pain following injury. All 25 patients were investigated with MR imaging, 17 with ultrasound and 5 with radionuclide bone scanning. Clinical data and surgical findings were correlated with the results of radiological investigation.

RESULTS:

The PTTL demonstrated scar formation and a hypertrophic response consistent with previous injury in all 25 patients. Displacement or encasement of the surrounding tendons and their sheaths was often encountered (12/25). Bony avulsion was demonstrated in 5/25 occasions with ultrasound and 2/25 with MR imaging. Twelve patients underwent surgery, confirming the radiological findings.

CONCLUSION:

Imaging can effectively evaluate the integrity of the PTTL in the context of ongoing posteromedial ankle pain.

PMID:
12956561
DOI:
10.1177/107110070302400802
[Indexed for MEDLINE]

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