ANKLE TENOGRAPHY : A Therapeutic Imaging Modality - 09/09/11

Doi : 10.1016/S0033-8389(05)70059-2

Ken L. Schreibman, PhD, MD ^a, Louis A. Gilula, MD ^b

^a Departments of Radiology and Orthopaedic Surgery, University of Mississippi Medical Center (KLS), Jackson, Mississippi

^b Musculoskeletal Section, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis; and Barnes-Jewish Hospital (LAG), St. Louis, Missouri

Resumen

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 Reinherz R.P., Zawada S.J., Sheldon D.P. Tenography around the ankle and introduction of a new technique J Foot Ankle Surg 1986 ; 25 : 357-363

Haga clic aquí para ir a la sección de Referencias} the technique as applied to the sheaths of the ankle tendons was first described by Palmer^{4 Palmer D.G. Tendon sheaths and bursae involved by rheumatoid disease at the foot and ankle Aust Radiol 1970 ; 14 : 419-428 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} in 1970 and later refined in 1984.^{2 Destouet J.M., Monsees B., Gilula L.A. Ankle tenography Procedures in Skeletal Radiology : Grune & Stratton (1984).
679-699

Haga clic aquí para ir a la sección de Referencias, 3 Gilula L.A., Oloff L., Caputi R. , y al. Ankle tenography: A key to unexplained symptomatology. Part II: Diagnosis of chronic tendon disabilities Radiology 1984 ; 151 : 581-587

Haga clic aquí para ir a la sección de Referencias, 6 Teng M.M.H., Destouet J.M., Gilula L.A. , y al. Ankle tenography: A key to unexplained symptomatology. Part I: Normal tenographic anatomy Radiology 1984 ; 151 : 575-580

Haga clic aquí para ir a la sección de Referencias}

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 Cheung Y., Rosenberg Z.S., Magee T. , y al. Normal anatomy and pathologic conditions of ankle tendons: Current imaging techniques Radiographics 1992 ; 12 : 429-444

Haga clic aquí para ir a la sección de Referencias}

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.

El texto completo de este artículo está disponible en PDF.

Esquema

ANATOMY

TECHNIQUE

PT VERSUS FDL

CLINICAL INDICATIONS AND CONTRAINDICATIONS

Case History.

CONCLUSIONS

Address reprint requests to Ken L. Schreibman, PhD, MD, Department of Radiology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216