Retinacular Disorders of the Ankle and Foot

Xavier Demondion; Clarissa Canella; Antoine Moraux; Michel Cohen; Régis Bry; Anne Cotten

doi:10.1055/s-0030-1254518

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2010; 14(3): 281-291
DOI: 10.1055/s-0030-1254518

Retinacular Disorders of the Ankle and Foot

Xavier Demondion¹ ^, ² , Clarissa Canella¹ , Antoine Moraux¹ , Michel Cohen¹ , Régis Bry² , Anne Cotten¹

¹Service de Radiologie et d'Imagerie Musculosquelettique, Centre de Consultation et Imagerie de l'Appareil Locomoteur, CHRU, Lille, France
²Laboratoire d'Anatomie, Faculté de Médecine de Lille, Lille, France

Abstract

ABSTRACT

The retinacula of the ankle are distinct structures defined as regions of localized thickening of the crural fascia covering the deep structures of the distal portion of the leg, ankle, and foot. Their role is to maintain the approximation of the tendons to the underlying bone. The retinacula of the ankle and foot contain the extensor retinaculum, the peroneal retinaculum, and the flexor retinaculum. Knowledge of the normal anatomy and imaging appearance of these structures is essential for the depiction of their injuries. Even though they may provide an explanation for chronic and unexplained residual pain after an injury, they are frequently overlooked or misdiagnosed.

KEYWORDS

Ankle - foot - MRI - retinaculum - tendon - ultrasound

Full Text

References

REFERENCES

1 Klein M A, Spreitzer A M. MR imaging of the tarsal sinus and canal: normal anatomy, pathologic findings, and features of the sinus tarsi syndrome. Radiology. 1993; 186(1) 233-240
2 Lektrakul N, Chung C B, Lai Ym et al.. Tarsal sinus: arthrographic, MR imaging, MR arthrographic, and pathologic findings in cadavers and retrospective study data in patients with sinus tarsi syndrome. Radiology. 2001; 219(3) 802-810
3 Saraffian S K. Retaining systems and compartments. In: Patterson D Anatomy of the Foot and Ankle: Descriptive, Topographic, Functional. Philadelphia, PA; Lippincott 1993: 113-118
4 Klein D M, Katzman B M, Mesa J A, Lipton J F, Caligiuri D A. Histology of the extensor retinaculum of the wrist and the ankle. J Hand Surg [Am]. 1999; 24(4) 799-802
5 Lipscomb P R, Kelly P J. Injuries of the extensor tendons in the distal part of the leg and in the ankle. J Bone Joint Surg Am. 1955; 37A 1206-1213
6 Ouzounian T J, Anderson R. Anterior tibial tendon rupture. Foot Ankle Int. 1995; 16(7) 406-410
7 Barnett T, Hammond N L. Anterior tibial tendon rupture. Contemp Orthop. 1991; 23 365-367
8 Bianchi S, Zwass A, Abdelwahab I F, Zoccola C. Evaluation of tibialis anterior tendon rupture by ultrasonography. J Clin Ultrasound. 1994; 22(9) 564-566
9 Trout B M, Hosey G, Wertheimer S J. Rupture of the tibialis anterior tendon. J Foot Ankle Surg. 2000; 39(1) 54-58
10 Akhtar M, Levine J. Dislocation of extensor digitorum longus tendons after spontaneous rupture of the inferior retinaculum of the ankle. Case report. J Bone Joint Surg Am. 1980; 62(7) 1210-1211
11 Khoury N J, el-Khoury G Y, Saltzman C L, Brandser E A. Rupture of the anterior tibial tendon: diagnosis by MR imaging. AJR Am J Roentgenol. 1996; 167(2) 351-354
12 Numkarunarunrote N, Malik A, Aguiar R O, Trudell D J, Resnick D. Retinacula of the foot and ankle: MRI with anatomic correlation in cadavers. AJR Am J Roentgenol. 2007; 188(4) W348-W354
13 Scheller A D, Kasser J R, Quigley T B. Tendon injuries about the ankle. Orthop Clin North Am. 1980; 11(4) 801-811
14 Rimoldi R L, Oberlander M A, Waldrop J I, Hunter S C. Acute rupture of the tibialis anterior tendon: a case report. Foot Ankle. 1991; 12(3) 176-177
15 Din R, Therkilsden L. Rupture of tibialis anterior associated with a closed midshaft tibial fracture. J Accid Emerg Med. 1999; 16(6) 459
16 Markarian G G, Kelikian A S, Brage M, Trainor T, Dias L. Anterior tibialis tendon ruptures: an outcome analysis of operative versus nonoperative treatment. Foot Ankle Int. 1998; 19(12) 792-802
17 Gallo R A, Kolman B H, Daffner R H, Sciulli R L, Roberts C C, DeMeo P J. MRI of tibialis anterior tendon rupture. Skeletal Radiol. 2004; 33(2) 102-106
18 Bernstein R M. Spontaneous rupture of the tibialis anterior tendon. Am J Orthop (Belle Mead NJ). 1995; 24(4) 354-356
19 Cheung Y, Rosenberg Z S, Magee T, Chinitz L. Normal anatomy and pathologic conditions of ankle tendons: current imaging techniques. Radiographics. 1992; 12(3) 429-444
20 Petersen W, Stein V, Tillmann B. Blood supply of the tibialis anterior tendon. Arch Orthop Trauma Surg. 1999; 119(7–8) 371-375
21 Petersen W, Stein V, Bobka T. Structure of the human tibialis anterior tendon. J Anat. 2000; 197(Pt 4) 617-625
22 Crosby L A, Fitzgibbons T C. Unrecognized laceration of tibialis anterior tendon: a case report. Foot Ankle. 1988; 9(3) 143-145
23 Dooley B J, Kudelka P, Menelaus M B. Subcutaneous rupture of the tendon of tibialis anterior. J Bone Joint Surg Br. 1980; 62-B(4) 471-472
24 Benzakein R, Wakim W A, DeLauro T M, Marcus R. Neglected rupture of the tibialis anterior tendon. J Am Podiatr Med Assoc. 1988; 78(10) 529-532
25 Warwick R, Williams P Gray's Anatomy of the Human Body. 35th British ed. Philadelphia, PA; Saunders 1973: 578-579
26 Kamina P. Structures fibreuses et synoviales de la cheville et du pied. Précis d'anatomie clinique. 2nd ed. Paris France; Maloine 2003: 465-467
27 Resnick D. Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia, PA; Saunders 1995: 3290-3291
28 Resnick D, Kang H, Pretterklieber M. Internal Derangements of Joints. Vol. 1. San Diego, CA; Elsevier 2007: 129-132
29 Resnick D, Kang H, Pretterklieber M. Internal Derangements of Joints. Vol. 2. San Diego, CA; Elsevier 2007: 1218-1223
30 Morvan G, Wybier M, Mathieu P, Vuillemin W, Guerini H. In: Brasseur J-L, Zeitoun-Eiss D, Renoux J, Grenier P Actualités en échographie de l'appareil locomoteur. Montpellier, France; Sauramps 2007: 11-24
31 Lipscomb P R, Kelly P J. Injuries of the extensor tendons in the distal part of the leg and in the ankle. J Bone Joint Surg Am. 1955; 37A 1206-1213
32 Lee M H, Chung C B, Cho J H et al.. Tibialis anterior tendon and extensor retinaculum: imaging in cadavers and patients with tendon tear. AJR Am J Roentgenol. 2006; 187 W161-W168
33 Martinoli C, Bianchi S.. Ultrasound of the Musculoskeletal System. Berlin, Germany; Springer 2007: 776-779
34 Rosenberg Z S, Bencardino J, Astion D, Schweitzer M E, Rokito A, Sheskier S. MRI features of chronic injuries of the superior peroneal retinaculum. AJR Am J Roentgenol. 2003; 181(6) 1551-1557
35 Eckert W R, Davis Jr E A. Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am. 1976; 58(5) 670-672
36 Davis W H, Sobel M, Deland J, Bohne W H, Patel M B. The superior peroneal retinaculum: an anatomic study. Foot Ankle Int. 1994; 15(5) 271-275
37 Abu-Hijleh M F, Harris P F. Deep fascia on the dorsum of the ankle and foot: extensor retinacula revisited. Clin Anat. 2007; 20(2) 186-195
38 Major N M, Helms C A, Fritz R C, Speer K P. The MR imaging appearance of longitudinal split tears of the peroneus brevis tendon. Foot Ankle Int. 2000; 21(6) 514-519
39 Rosenberg Z S, Beltran J, Cheung Y Y, Colon E, Herraiz F. MR features of longitudinal tears of the peroneus brevis tendon. AJR Am J Roentgenol. 1997; 168(1) 141-147
40 Schweitzer M E, Eid M E, Deely D, Wapner K, Hecht P. Using MR imaging to differentiate peroneal splits from other peroneal disorders. AJR Am J Roentgenol. 1997; 168(1) 129-133
41 Goucher N R, Coughlin M J, Kristensen R M. Dislocation of the posterior tibial tendon: a literature review and presentation of two cases. Iowa Orthop J. 2006; 26 122-126
42 Ouzounian T J, Myerson M S. Dislocation of the posterior tibial tendon. Foot Ankle. 1992; 13(4) 215-219
43 Loncarich D P, Clapper M. Dislocation of posterior tibial tendon. Foot Ankle Int. 1998; 19(12) 821-824

Xavier DemondionM.D. Ph.D.

Service de Radiologie et d'Imagerie Musculosquelettique

Hôpital Roger Salengro – 59037 – Lille CEDEX, France

Email: xavier.demondion@chru-lille.fr