MAGNETIC RESONANCE IMAGING IN TRAUMATIC INJURIES OF THE ANKLE JOINT IN CHILDREN



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Introduction. Sprain of the ankle joint is one of the most common injuries in children during sport activities. Purpose. To define MRI diagnostic value in ankle joint injuries. Material and methods. 30 patients , 18 boys and 12 girls aged 8-17 ( average age 14.6 years), were enrolled into the study. 20 of them (66.7%) were 12-14 years old, 3 (10%) - < 10 years old and 7 (23.3 %) - > 14 years old. A Philips AchievadStream 3.0 Tesla scanner was used for MRI examination. Results. MRI findings showed that 17 (56.7%) patients had damage of the anterior talofibular ligament; 8 patients had avulsion of bone fragments of the lateral ankle; 9 patients (30.0%) had partial deltoid ligament injuries. Complete rupture of ligaments was rare and was seen only in two patients (6.7%). Conclusion. MRI is a method of choice in assessing ankle injuries due to high contrast of soft tissues, high resolution and multi-planar potentials. MRI is especially useful in examining soft ankle tissue structures such as tendons, ligaments, nerves and fascia, as well as in revealing hidden / subtle bone damage.

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N. Serova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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T. Akhadov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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I. Melnikov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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O. Bozhko

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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N. Semenova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: noemail@neicon.ru
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S. Nikishov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: noemail@neicon.ru
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D. Dmitrenko

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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A. Manzhurtsev

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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T. Kostikova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

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M. Akhlebinina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: noemail@neicon.ru
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M. Ublinsky

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: maxublinsk@mail.ru
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