الفهرس | Only 14 pages are availabe for public view |
Abstract Ankle pain is one of the most common complaints patients of various age groups present with to various out-patient clinics as well as emergency department. The diagnosis of the underlying condition by clinical examination alone can be problematic in many cases raising the need for aiding diagnostic tools namely serological tests and different imaging modalities. In our study we compared the diagnostic accuracy of ultrasound examination of the ankle joint with that of the MRI in 40 patients who presented to Ain-Shams University Hospitals out-patient clinical complaining of ankle pain Background: chronic ankle pain is considered a diagnostic challenge because of variable causes including traumatic and non-traumatic causes. MRI is considered an excellent method of diagnosis of soft tissue abnormalities around ankle joint. Ultrasonography also can detect normal anatomic structure and assess ligamentous abnormalities, and provide dynamic evaluation of the soft tissues. Ultrasonography is more available, cheap, fast, and safe method of diagnosis. Aim of Study: Was toevaluate the accuracy of both ultrasonography and magnetic resonance imaging in diagnosis of different causes of chronic ankle pain. Patients and Methods: A comparative study conducted upon attendants referred from orthopedics clinic who complained of ankle pain. Results: In this study ultrasound successfully diagnosed and characterized 35 out of 40 patients (85%) while MRI diagnosed and characterized 36 patients (87.5%). MRI is the modality of choice for optimal detection of most of osseous and; soft-tissue disorders of ankle with higher axial resolution and multiplanar capabilities while ultrasound proved to be excellent cost-benefit widely available imaging technique that has high spatial resolution making it helpful tool in diagnosing most of ankle soft tissue disorders with high diagnostic accuracies almost equal to MRI values. Conclusion: Ultrasonography and MRI are two methods of investigations with the former being used as primary tool of investigation and the latter done to confirm diagnosis and the extent of the lesion especially when surgery is planned. |