• 1

    Cox HA, Kuwada GT: Transchondral fractures of the talar dome. .Clin Podiatr Med Surg 12::667. ,1995. .

  • 2

    Kuwada GT: An update on repair of Achilles tendon rupture, acute and delayed. .JAPMA 89::302. ,1999. .

  • 3

    Kuwada GT: Current concepts in the diagnosis and treatment of ankle sprains. .Clin Podiatr Med Surg 12::653. ,1995. .

  • 4

    Lamm BM, Myers DT, Dombek M, et al: Magnetic resonance imaging and surgical correlation of peroneus brevis tears. .J Foot Ankle Surg 43::30. ,2004. .

  • 5

    Awh MH, Stadnick ME: MR imaging assumes primary role in evaluation of foot and ankle. .Diagnostic Imaging 12::8. ,2001. .

  • 6

    Anzilotti K Jr, Schweitzer ME, Hecht P, et al: Effect of foot and ankle MR imaging on clinical decision making. .Radiology 201::515. ,1996. .

  • 7

    Rosenburg SZ, Bencardino J, Astion D, et al: MRI features of chronic injuries of the superior peroneal retinaculum. .Am J Roentgenol 181::1551. ,2003. .

    • Search Google Scholar
    • Export Citation
  • 8

    Schneck CD, Mesgarzadeh M, Bonakdarpour A: MR imaging of the most commonly injured ankle ligaments. Part II: ligament injuries. .Radiology 184::507. ,1992. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Rosenburg ZS, Cheung Y, Jahss MH: Rupture of the posterior tibial tendon: CT and MR imaging with surgical correlation. .Radiology 169::229. ,1988. .

  • 10

    Khoury NJ, el-Khoury GY, Saltzuran CL, et al: Peroneus longus and brevis tendon tears: MR imaging evaluation. .Radiology 200::833. ,1996. .

  • 11

    Rademaker J, Rosenburg ZS, Delfaut EM: Tear of the peroneus longus tendon: MR imaging features in nine patients. .Radiology 214::700. ,2000. .

  • 12

    Rosenburg ZS, Beltran J, Cheung YY, et al: MR features of longitudinal tears of the peroneus brevis tendon. .Am J Roentgenol 168::141. ,1997. .

    • Search Google Scholar
    • Export Citation
  • 13

    Schweitzer ME, Eid ME, Deely D, et al: Using MR imaging to differentiate peroneal splits from other peroneal disorders. .Am J Roentgenol 168::129. ,1997. .

    • Search Google Scholar
    • Export Citation
  • 14

    Major NM, Helms CA, Fritz RC, et al: MR imaging appearance of longitudinal split tears of the peroneus. .Foot Ankle Int 21::514. ,2000. .

  • 15

    Schuberth JM, Collman DR, Rush SM, et al: Deltoid ligament integrity in lateral malleolar fractures: a comparative analysis of arthroscopic and radiographic assessments. .J Foot Ankle Surg 43::20. ,2004. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Surgical Correlation of Preoperative MRI Findings of Trauma to Tendons and Ligaments of the Foot and Ankle

Gerald T. Kuwada DPM, NMD1
View More View Less
Restricted access

Background: The purpose of this study was to determine whether magnetic resonance imaging findings are accurate and can be confirmed surgically.

Methods: Surgical correlation of preoperative magnetic resonance imaging findings of trauma to tendons and ligaments of the foot and ankle were retrospectively studied in 28 patients who had undergone surgical repair for tears of the Achilles tendon, posterior tibial tendon, peroneal tendons, collateral ligaments, and other pathology.

Results: This study corroborates that magnetic resonance imaging findings are confirmed surgically 83% of the time for tears of tendons and ligaments of the foot and ankle. Larger tendons (Achilles, posterior tibial tendon) have a 94% sensitivity and 6% specificity, respectively. Collateral ligament and high ankle sprains have a 73% sensitivity. There is a lower sensitivity of 57% for peroneus brevis and longus ruptures.

Conclusion: This study revealed that peroneal trauma can be an isolated event and in some cases can occur with other traumatic pathology such as collateral ligament tears. (J Am Podiatr Med Assoc 98(5): 370–373, 2008)