ANKLE TENOGRAPHY : A Therapeutic Imaging Modality - 09/09/11
Résumé |
Tenography is a minimally invasive imaging modality in which the synovial sheath surrounding a tendon is opacified with percutaneously administered contrast. Perhaps more appropriately called tenosynoviagraphy, 5 the technique as applied to the sheaths of the ankle tendons was first described by Palmer4 in 1970 and later refined in 1984.2, 3, 6
Since that time, tenography has largely been replaced as a primary imaging modality by ultrasound and MR imaging, modalities that are capable of yielding high-resolution, multiplanar, cross-sectional images of all of the ankle tendons and their surrounding soft tissues.1
When looked upon as a therapeutic modality, however, tenography is a quick and easily performed method of treating chronic ankle tendon pain that has been recalcitrant to conventional conservative measures, such as splinting and non–weight bearing.
After a brief review of the anatomy of the ankle tendons, this article explains in detail the technique for performing ankle tenography. Potential pitfalls, as well as clinical indications and contraindications, are discussed.
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| Address reprint requests to Ken L. Schreibman, PhD, MD, Department of Radiology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216 |
Vol 36 - N° 4
P. 739-756 - juillet 1998 Retour au numéro
Article précédent
- MR ARTHROGRAPHY OF THE ANKLE
- J. Walter Helgason, Vijay P. Chandnani
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