High-resolution ultrasound and MRI in the evaluation of the forefoot and midfoot

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Ultrasonography Pub Date : 2023-10-30 DOI:10.15557/jou.2023.0033
Monique Reijnierse, James F. Griffith
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Abstract

Radiography is the appropriate initial imaging modality to assess for midfoot and forefoot pathology before turning to advanced imaging techniques. While most lesions of the mid- and forefoot can be diagnosed clinically, the exact nature and severity of the pathology is often unclear. This review addresses the use of the ultrasound, as well as the added value of magnetic resonance imaging, in diagnosing conditions of the mid- foot and forefoot. Ultrasound allows a dynamic assessment as well as enabling imaging-guided interven- tions for diagnostic and therapeutic purposes. Practical tips for optimal examination of this area with ultra- sound and magnetic resonance imaging are provided. Metatarsal stress fracture, Chopart’s injury, Lisfranc injury, as well as the 1st metatarsophalangeal joint injury and lesser metatarsophalangeal plantar plate injury are injuries unique to the mid- and forefoot. The imaging anatomy of the 1st and lesser metatarsophalan- geal joints is reviewed, as such knowledge is key to correctly assessing injury of these joints. Characteristic imaging features of masses commonly encountered in the mid- and forefoot, such as ganglion cyst, Morton neuroma, gouty tophus, plantar fibroma, foreign body granuloma, and leiomyoma are reviewed. The use of ultrasound and magnetic resonance imaging in assessing degenerative and inflammatory joint disorders, and in particular rheumatoid arthritis, of the mid- and forefoot region is also reviewed. In summary, when necessary, most lesions of the mid-and forefoot can be adequately assessed with ultrasound, supplemented on occasion with radiographs, computed tomography, or magnetic resonance imaging.
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高分辨率超声和MRI评价前足和中足
在采用先进的影像学技术之前,影像学是评估足中部和前足病理的合适的初始成像方式。虽然大多数中前脚病变可以在临床上诊断,但病理的确切性质和严重程度往往不清楚。这篇综述论述了超声的使用,以及磁共振成像的附加价值,在诊断中足和前足的条件。超声允许动态评估,以及使成像引导干预诊断和治疗的目的。本文提供了超声和磁共振成像对该区域进行最佳检查的实用技巧。跖骨应力性骨折、Chopart损伤、Lisfranc损伤以及第一跖趾关节损伤和小跖趾趾跖板损伤是中、前足特有的损伤。本文回顾了第一及第二跖骨关节的影像学解剖,因为这些知识是正确评估这些关节损伤的关键。本文综述了神经节囊肿、莫顿神经瘤、痛风结节、足底纤维瘤、异物肉芽肿、平滑肌瘤等中前足常见肿块的影像学特征。超声和磁共振成像在评估退行性和炎症性关节疾病,特别是类风湿性关节炎,中、前足区域的使用也进行了审查。总之,必要时,大多数中前脚病变可以用超声充分评估,偶尔辅以x线片、计算机断层扫描或磁共振成像。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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