Abstract Archives of the RSNA, 2005


SSE20-02

Posterior Malleolar Periosteal Injuries in Football Players with High Ankle Sprains

Scientific Papers

Presented on November 28, 2005
Presented as part of SSE20: Musculoskeletal (Foot and Ankle Disorders)

Participants

Jeffrey Dalton Towers MD, Presenter: Nothing to Disclose
Derek R. Armfield MD, Abstract Co-Author: Nothing to Disclose
Kenneth Alan Buckwalter MD, Abstract Co-Author: Nothing to Disclose
James P Bradley MD, Abstract Co-Author: Nothing to Disclose
John Norwig MED, Abstract Co-Author: Nothing to Disclose

PURPOSE

The diagnosis of high ankle sprain (syndesmotic tear) has significant consequences for treatment and return to play decisions in elite competitive athletes. Diagnosis can be confused with other injuries, particularly in football players with prior ankle injuries. We report the radiological and MRI finding of posterior malleolar periostitis in football players with high ankle sprains.

METHOD AND MATERIALS

All candidates for professional football draft 2005 were screened by injury history, onsite history and physical exam. Imaging by plain radiographs or MRI was performed based on the clinical need for evaluation of injury history or reconciliation of onsite history and physical exam findings. 18 candidates had both a history of a high ankle sprain and either plain radiographs (16) or MRI (2). Plain radiographs were evaluated for the presence of subperiosteal new bone at the posterior malleolus of the tibia on the lateral projection. MRI exams were evaluated for posterior malleolar periosteal edema or elevation.

RESULTS

Of 16 radiographs, 12 had posterior subperiosteal new bone, and both MRI exams had posterior periosteal edema and elevation. Injuries were distributed relatively evenly among various position player.

CONCLUSION

Radiographic posterior malleolar periosteal new bone and the MRI finding of posterior malleolar periosteal stripping are frequently seen in high ankle (syndesmotic) injuries in elite football players

Cite This Abstract

Towers, J, Armfield, D, Buckwalter, K, Bradley, J, Norwig, J, Posterior Malleolar Periosteal Injuries in Football Players with High Ankle Sprains.  Radiological Society of North America 2005 Scientific Assembly and Annual Meeting, November 27 - December 2, 2005 ,Chicago IL. http://archive.rsna.org/2005/4419539.html