Christian Jrgen Seebauer1, Jens Rump2,
Hermann Josef Bail3, Felix Gttler2, Bernd Hamm2,
Ulf Teichgrber2
1Center for Musculoskeletal
Surgery, Charit-Universittsmedizin Berlin, Berlin, Germany; 2Department
of Radiology, Charit-Universittsmedizin Berlin, Berlin, Germany; 3Department
of Trauma & Orthopedic Surgery, Clinic Nuremberg, Nuremberg, Germany
To date, no reports document the advantages of the combination of MRI and stress examination in the assessment of mechanical ankle instability. In the present study an MR-compatible stress device was developed and tested for MR-safety. Bilateral MRI-stress examinations were performed on 50 volunteers, i.e. 35 healthy subjects (group A) and 15 athletes suffering from chronic ankle instability (group B). Both, the inversion test and the anterior drawer test were performed under axial, coronal, 45 para-axial and sagittal T2W FSE image control. MR images were assessed for the talar-tilt (TT), subtalar-tilt (STT), anterior-talus-translation (ATT), anterior-calcaneus-translation (ACT), lateral-talocalcaneal-translation (MTCT) and the ligaments of the lateral ankle (ATFL, CFL and PTFL).