Chronic Tibiofibular Syndesmosis Injury: The Diagnostic Efficiency of Magnetic Resonance Imaging and Comparative Analysis of Operative Treatment

Die moderne Schnittbilddiagnostik hat die Diagnostik des instabilen Sprunggelenks zuverlassiger, schonender und differenzierter gemacht Hierbei ist die Sonografie fur den Kliniker unverzichtbar, wobei moderne High-resolution-Sonografiesysteme mehr Beachtung finden sollten Die Magnetresonanztomographie kann einen vollstandigen Status der Gelenkstrukturen liefern Durch neue 3D-Spin-Echo-Sequenzen ist eine hohe Kontrastauflosung bei isometrischer raumlicher Auflosung moglich Lediglich fur die hochauflosende Diagnostik des Knochens, die Bestimmung der Mineralisation und die Arthrographie ist die Computertomographie (CT) als kongruentes Verfahren wichtig Die CT-Fluoroskopie erleichtert und sichert die Gelenkpunktion Die Strahlendosis kann auf 90 % Gleiches gilt fur die Sehnen, die bei chronischer Instabilitat die „2 Verteidigungslinie“ des Halteapparats bilden

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