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

2008 ◽  
Vol 98 (5) ◽  
pp. 370-373 ◽  
Author(s):  
Gerald T. Kuwada
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lower Sensitivity ◽  
Posterior Tibial Tendon ◽  
Imaging Findings ◽  
Foot And Ankle ◽  
Resonance Imaging ◽  
Collateral Ligament ◽  
Mri Findings ◽  
Posterior Tibial

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)

Foot and ankle functions and deformities focus on posterior tibial tendon dysfunction using magnetic resonance imaging in patients with rheumatoid arthritis

2021 ◽  
Author(s):  
Takeshi Mochizuki ◽  
Yuki Nasu ◽  
Koichiro Yano ◽  
Katsunori Ikari ◽  
Ryo Hiroshima ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pitch Angle ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Resonance Imaging ◽  
Posterior Tibial Tendon Dysfunction ◽  
First Metatarsal ◽  
Posterior Tibial ◽  
Metatarsal Angle

ABSTRACT Objectives Posterior tibial tendon dysfunction (PTTD) affects the support of the medial longitudinal arch and stability of the hindfoot. The purpose of this study was to assess the relationships of PTTD with foot and ankle functions and foot deformities in patients with rheumatoid arthritis (RA). Methods A total of 129 patients (258 feet) who underwent magnetic plain and contrast-enhanced magnetic resonance imaging were enrolled in this study. Positive magnetic resonance imaging findings were defined as tenosynovitis and incomplete and complete rupture of the posterior tibial tendon. Foot and ankle functions were assessed using the Japanese Society for Surgery of the Foot standard rating system for the RA foot and ankle scale (JSSF-RA) and self-administered foot evaluation questionnaire. Plain radiographs were examined for the hallux valgus angle, first metatarsal and second metatarsal angle, lateral talo-first metatarsal angle, and calcaneal pitch angle. Results PTTD was associated with motion in the JSSF-RA (p = .024), activities of daily living in JSSF-RA (p = .017), and pain and pain-related factors in the self-administered foot evaluation questionnaire (p = .001). The calcaneal pitch angle was significantly lower in the feet with PTTD than in those without PTTD (median: 16.2° vs. 18.0°; p = .007). Conclusions The present study shows that PTTD was associated with foot and ankle functions and flatfoot deformity. Thus, a better understanding of PTTD in patients with RA is important for the management of foot and ankle disorders in clinical practice.

Magnetic Resonance Imaging in the Diagnosis of Disruption of the Posterior Tibial Tendon

Foot & Ankle ◽  
1987 ◽  
Vol 8 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ian J. Alexander ◽  
Kenneth A. Johnson ◽  
Thomas H. Berquist
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Tissues ◽  
Diagnostic Technique ◽  
Clinical Findings ◽  
The Body ◽  
Posterior Tibial Tendon ◽  
Resonance Imaging ◽  
Posterior Tibial ◽  
Magnetic Resonance Imaging Mri

Magnetic resonance imaging (MRI), a useful technique of studying soft tissues of the body, can be very effective in assessing the integrity of tendons. Usually a patient with a complete tear of the posterior tibial tendon has characteristic physical findings. In the patient presented, MRI demonstrated a complete disruption of the posterior tibial tendon, despite the absence of the commonly associated clinical findings. In view of the difficulties encountered with attempted tenography of the completely torn posterior tibial tendon, MRI provides a sensitive alternative diagnostic technique.

Transperineal Ultrasonographic and Magnetic Resonance Imaging Findings of Vaginal Adenosis

2021 ◽  
Vol 17 ◽  
Author(s):  
Sebnem Karasu ◽  
Atilla Hikmet Cilengir ◽  
Irfan Ocal ◽  
Serpil Aydogmus
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Chronic Pelvic Pain ◽  
English Literature ◽  
Vaginal Wall ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Proven Case ◽  
Magnetic Resonance Imaging Mri

Background: Vaginal adenosis is a rare clinicopathological entity which refers to the presence of glandular endometrial tissue in the vaginal wall. Case report: A gravida 46-year-old woman was presented to the gynecology department with symptoms of chronic pelvic pain. Maternal Diethylstilbestrol (DES) usage has been proven effective in the development of vaginal adenosis. It can also be idiopathic. Its sonographic or magnetic resonance imaging (MRI) findings have not been described in English literature previously. Conclusion: Here, we report the clinical, transperineal ultrasonographic (US) and MRI findings of a pathologically proven case of vaginal adenosis.

scholarly journals Calcaneal Apophysitis (Sever's Disease): MRI Findings

2016 ◽  
Vol 35 (2) ◽  
pp. 172-174
Author(s):  
Mehmet S Dogan ◽  
Selim Doganay ◽  
Gonca Koc ◽  
Sureyya B Gorkem ◽  
Saliha Ciraci ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Examination ◽  
Heel Pain ◽  
Imaging Modalities ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Typical History ◽  
Calcaneal Apophysitis

Calcaneal apophysitis (Sever’s disease), is the most frequent cause of the heel pain in growing children. The diagnosisis generally made with a typical history and clinical examination. Imaging modalities including radiography and magnetic resonance imaging can help establish the diagnosis. In this case we report imaging findings of an 11-year-old boy diagnosed as Sever’s disease.J Nepal Paediatr Soc 2015;35(2):172-174

scholarly journals Magnetic Resonance Imaging Findings of the Asymptomatic Elbow Predict Injuries and Surgery in Major League Baseball Pitchers

2019 ◽  
Vol 7 (1) ◽  
pp. 232596711881841 ◽  
Author(s):  
Grant H. Garcia ◽  
Anirudh K. Gowd ◽  
Brandon C. Cabarcas ◽  
Joseph N. Liu ◽  
John R. Meyer ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Major League Baseball ◽  
Operative Procedure ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Major League ◽  
Mri Scans ◽  
Baseball Pitchers

Background: Repetitive pitching produces significant stress on the elbow that may result in structural abnormalities discernable on magnetic resonance imaging (MRI) without causing symptoms. Purpose: To determine whether there exists an association between subclinical MRI findings in asymptomatic elbows of Major League Baseball (MLB) players and future placement on the disabled list (DL) or future operative procedure. Study Design: Cohort study; Level of evidence, 3. Methods: MRI scans of the elbows of professional-level baseball pitchers, taken during routine presigning imaging at a single organization from 2005 to 2017, were retrospectively reviewed. Publicly available databases were queried to exclude pitchers with an injury before the earliest session of elbow MRI. Three blinded reviewers reviewed all MRI scans independently to evaluate for the presence of chondral damage to the joint, loose bodies, ulnar collateral ligament (UCL) heterogeneity or tears, flexor pronator mass defects, and signs of posteromedial (PM) impingement. Binary imaging findings were related to future placement on the DL for elbow complaints and future elbow surgery. Results: A total of 41 pitchers had asymptomatic MRI findings with no prior DL placement. For players who eventually went on the DL, there were a statistically greater number of players with UCL heterogeneity ( P = .021), humeral-sided partial UCL tears ( P = .031), and PM impingement ( P = .004) on preinjury MRI compared with players who remained healthy. PM impingement was related to future elbow-related surgery ( P = .003). Pitchers with UCL heterogeneity were associated with reduced career strike zone percentage, innings pitched, and fastball percentage ( P < .05 for all). Conclusion: UCL heterogeneity, PM impingement, and humeral-sided partial tears were correlated with future DL placement for elbow-related reasons in MLB pitchers. Asymptomatic PM impingement may be a precursor to future surgery.

Ultrasound in the Diagnosis of Posterior Tibial Tendon Pathology

1996 ◽  
Vol 17 (9) ◽  
pp. 555-558 ◽  
Author(s):  
Stuart D. Miller ◽  
Marnix Van Holsbeeck ◽  
Peter M. Boruta ◽  
Kent K. Wu ◽  
David A. Katcherian
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diagnostic Tool ◽  
Surgical Planning ◽  
Posterior Tibial Tendon ◽  
Resonance Imaging ◽  
Posterior Tibial ◽  
Partial Tears ◽  
Tendon Pathology

We retrospectively evaluated the effectiveness of ultrasonography as a diagnostic tool for investigating pathology in the posterior tibial tendon by comparing the preoperative ultrasonograms for 17 patients with their recorded surgical findings. In all cases, the surgical findings confirmed the ultrasonographic diagnoses: 3 inflammations, 4 partial tears, and 10 ruptures. Interestingly, two ruptures had been undiagnosed by magnetic resonance imaging. Ultrasonography, which seems to be a reliable means of visualizing the extent of pathology of the symptomatic posterior tibial tendon, may be a valuable tool in surgical planning.

Clinical Significance of Magnetic Resonance Imaging in Preoperative Planning for Reconstruction of Posterior Tibial Tendon Ruptures

Foot & Ankle ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Stephen Conti ◽  
James Michelson ◽  
Melvin Jahss
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Success ◽  
Magnetic Resonance Images ◽  
Posterior Tibial Tendon ◽  
Resonance Imaging ◽  
Posterior Tibial ◽  
Surgical Evaluation ◽  
Tendon Ruptures ◽  
Magnetic Resonance Imaging Mri

A retrospective study of attenuated/ruptured posterior tibial tendons was conducted of all patients who underwent tendon reconstruction over a 4-year period. The study comprised 20 feet in 19 patients having an average age of 53.3 years, with an average follow-up of 2 years. Preoperative magnetic resonance images were taken and graded for assignment to one of three magnetic resonance imaging (MRI)-based groups. The surgical grade was determined intraoperatively based on a previously described classification scheme. No medical or rheumatologic conditions predisposing to failure could be identified. Failure was defined as postoperative progression of pain and deformity which required subsequent triple arthrodesis. There were six failures at an average of 14.7 months. Surgical evaluation was not correlated to outcome following reconstruction. MRI grading, however, was predictive of outcome. The superior sensitivity of MRI for detecting intramural degeneration in the posterior tibial tendon that was not obvious at surgery may explain why MRI is better than intraoperative tendon inspection for predicting the outcome of reconstructive surgery. Therefore, it may be helpful to obtain preoperative MRI when this particular reconstruction of the posterior tibial tendon is contemplated, since this provides the best measure of tendon integrity and appears to be the best predictor of clinical success after such surgery.

Tendon Reconstruction in Posterior Tibial Tendon Dysfunction

2002 ◽  
Vol 92 (10) ◽  
pp. 570-574
Author(s):  
Richard J. Zirm
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Outcome ◽  
Posterior Tibial Tendon ◽  
Resonance Imaging ◽  
Posterior Tibial Tendon Dysfunction ◽  
Diagnostic Modality ◽  
Posterior Tibial ◽  
Selection For ◽  
Selection Of

Successful treatment of posterior tibial tendon dysfunction depends on accurate staging and the appropriate selection of surgical procedures. Magnetic resonance imaging is the most sensitive diagnostic modality for evaluating the tendon and is also the best predictor of clinical outcome following surgery. Procedural selection for patients with posterior tibial tendon dysfunction depends on many factors, including the underlying cause, age, weight, apex of the deformity, and relative integrity of the posterior tibial tendon. (J Am Podiatr Med Assoc 92(10): 570-574, 2002)

Sign in / Sign up

Export Citation Format

Share Document