Advertisement

Surgical and Radiologic Anatomy

, Volume 41, Issue 12, pp 1445–1449 | Cite as

Fluid distribution in ankle tendon sheaths in healthy volunteers: MRI findings

  • Inneke Willekens
  • Maryam Shahabpour
  • Leon Lenchik
  • Nico Buls
  • Johan De Mey
  • Steven Provyn
  • Michel De MaeseneerEmail author
Original Article
  • 71 Downloads

Abstract

Purpose

To assess normal distribution of fluid in the tendon sheaths of the ankle.

Methods

21 healthy volunteers were evaluated. Bilateral ankle MRI was performed on a 3T unit with PD-weighted images with fat saturation. The images were interpreted by two radiologists separately, and the short-axis dimension of fluid amount was measured. Bland–Altman plots and correlation plots were used to assess consistency between readers.

Results

There were 13 men and 8 women. The mean age was 24.7 years. Fluid in the retromalleolar part of the peroneus longus was seen in three ankles of three volunteers and in the inframalleolar part in three ankles of three volunteers. Fluid in the retromalleolar part of the peroneus brevis was seen in four ankles of three volunteers and in the inframalleolar part in three ankles of two volunteers. Fluid in the retromalleolar part of the tibialis posterior was seen in 37 ankles of 20 volunteers and in the inframalleolar part in 38 ankles of 21 volunteers Fluid in the retromalleolar part of the flexor digitorum was seen in 14 ankles of eight volunteers and in the inframalleolar part in 11 ankles of eight volunteers Fluid in the retromalleolar part of the flexor hallucis longus was seen in 23 ankles of 16 volunteers and in the inframalleolar part in 17 ankles of 11 volunteers.

Conclusion

Fluid is common in the retro- and inframalleolar parts of the medial tendons. Fluid is virtually absent in the peroneal tendons and anterior tendon sheaths in normal volunteers.

Keywords

Ankle Tendon ankle Ankle joint 

Notes

Author contribution

IW: data collection, analysis, writing. MS writing and final editing. LL: writing, editing. NB: data analysis. JM: analysis and final editing. SP: data collection and analysis. MM: data collection, analysis, writing and final editing

Compliance with ethical standards

Conflict of interest

The authors declare that they have no financial/personal conflicts of interest.

References

  1. 1.
    Bencardino J, Rosenberg ZS, Delfaut E (1999) MR imaging of sports injuries of the foot and ankle. Magn Reson Imaging Clin N Am 7:131–149PubMedGoogle Scholar
  2. 2.
    Cheung Y, Rosenberg Z, Magee T, Chinitz L (1992) Normal anatomy and pathologic conditions of ankle tendons: current imaging techniques. Radiographics 12:429–444CrossRefGoogle Scholar
  3. 3.
    Nazarian LN, Rawool NM, Martin CE, Schweitzer ME (1995) Synovial fluid in the hindfoot and ankle: detection of amount and distribution with US. Radiology 197:275–278CrossRefGoogle Scholar
  4. 4.
    O’Neill J, Pedowitz D, Kerbel Y, Codding J, Zoga A, Raikin S (2016) Peroneal tendon abnormalities on routine magnetic resonance imaging of the foot and ankle. Foot Ankle Int 37(7):743–747CrossRefGoogle Scholar
  5. 5.
    Saxena A, Luhafiya A, Ewen B et al (2011) Magnetic resonance imaging and incidental findings of lateral ankle pathologic features with asymptomatic ankles. J Foot Ankle Surg 50(4):413–4156CrossRefGoogle Scholar
  6. 6.
    Schmidt WA, Schmidt H, Schicke B, Gromma-Ihle E (2004) Standard reference values for musculoskeletal ultrasonography. Ann Rheum Diss 63:988–994CrossRefGoogle Scholar
  7. 7.
    Schweitzer ME, van Leersum M, Ehrlich SS, Wapner K (1994) Fluid in normal and abnormal ankle joints: amount and distribution as seen on MR images. AJR Am J Roentgenol 162:111–114CrossRefGoogle Scholar
  8. 8.
    Teitz CC, Garret WE, Miniaci A, Lee MH, Mann RA (1997) Tendon problems in athletic individuals. J Bone Jt Surg Ann 79:138–152CrossRefGoogle Scholar
  9. 9.
    Trevino S, Baumhauer JF (1992) Tendon injuries of the foot and ankle. Clin Sports Med 11:727–739PubMedGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  • Inneke Willekens
    • 1
  • Maryam Shahabpour
    • 1
  • Leon Lenchik
    • 2
  • Nico Buls
    • 1
  • Johan De Mey
    • 1
  • Steven Provyn
    • 3
  • Michel De Maeseneer
    • 1
    Email author
  1. 1.Department of RadiologyUniversitair Ziekenhuis BrusselBrusselsBelgium
  2. 2.Department of RadiologyWake Forest School of MedicineWinston-SalemUSA
  3. 3.Department of Experimental AnatomyVrije Universiteit BrusselBrusselsBelgium

Personalised recommendations