Magnetic Resonance Imaging Findings and Potential Anatomic Risk Factors for Anterolateral Ankle Impingement in Children and Adolescents Suffering from Non-Overload Atraumatic Ankle Pain

URN to cite this document:

urn:nbn:de:bvb:355-epub-594966 Copy

DOI to cite this document:

10.5283/epub.59496 Copy

Bäumler, Wolf ; Straub, Josina ; Weber, Johannes ; Ostheim, Patrick ; Lenz, Julia Elisabeth ; Alt, Volker ; Stroszczynski, Christian ; Reinhard, Jan ; Popp, Daniel

License: Creative Commons Attribution 4.0 PDF - Published Version (1MB)

Date of publication of this fulltext: 05 Nov 2024 18:31

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Details

Item type:	Article
Open Access Type:	Gold (with APC)
Journal or Publication Title:	Diagnostics
Publisher:	MDPI
Volume:	14
Number of Issue or Book Chapter:	20
Page Range:	p. 2265
Date:	11 October 2024
Institutions:	Medicine > Lehrstuhl für Strahlentherapie
Identification Number:	Value Type 10.3390/diagnostics14202265 DOI
Keywords:	magnetic resonance imaging (MRI); ankle pain; atraumatic; non-overload; children; adolescents; anterolateral impingement; risk factors; hindfoot alignment; hindfoot valgus
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	59496

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Abstract

Background/Objectives: To assess magnetic resonance image (MRI) findings in children and adolescents with atraumatic non-overload ankle pain and to identify potential anatomic risk factors. Methods: In total, 310 MRIs of 6- to 20-year-old patients were evaluated regarding detectable ankle pathologies. A total of 147 patients (68 males; 79 females) suffered from atraumatic non-overload ankle pain. ...

Abstract

Background/Objectives: To assess magnetic resonance image (MRI) findings in children and adolescents with atraumatic non-overload ankle pain and to identify potential anatomic risk factors. Methods: In total, 310 MRIs of 6- to 20-year-old patients were evaluated regarding detectable ankle pathologies. A total of 147 patients (68 males; 79 females) suffered from atraumatic non-overload ankle pain. The findings were compared to a control group (163 patients: 89 males; 74 females), including patients with ankle trauma in the 4 weeks prior to MRI examination. A t-test for unpaired samples and a binary logistic regression model were used to identify significant differences between both groups and determine potential anatomic risk factors. Results: In the group with atraumatic ankle pain, 95 patients (64.6%) showed at least one pathology. Anterolateral impingement of the upper ankle joint was found in 29 patients (19.7%). Its occurrence was significantly higher in atraumatic non-overload patients than in the control group (p = 0.043). Moreover, a significant correlation between anterolateral impingement of the upper ankle and the presence of hindfoot valgus malposition (n = 25; 17.0%) could be proven in atraumatic non-overload patients (p = 0.035). Conclusions: Anterolateral impingement of the upper ankle joint is frequently observed in children and adolescents suffering from atraumatic non-overload ankle pain, whereby a hindfoot valgus malposition seems to present an anatomic risk factor.

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