Is advanced imaging necessary before surgical repair.
John M Baca1, Colin Zdenek1, Alan R Catanzariti1
1Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
Clinics in Podiatric Medicine and Surgery
|July 2, 2014
Summary
Imaging can reveal bony and soft tissue abnormalities in posterior tibial tendon dysfunction and adult acquired flatfoot. Differentiating normal anatomy from pathology on imaging is crucial for effective treatment planning.
Area of Science:
- Orthopedics
- Radiology
- Medical Imaging
Background:
- Posterior tibial tendon dysfunction (PTTD) and adult acquired flatfoot deformity (AAFD) present with diverse imaging findings.
- These conditions involve bony and soft tissue abnormalities detectable via radiography, ultrasound, and MRI.
Purpose of the Study:
- To highlight the spectrum of imaging abnormalities in PTTD and AAFD.
- To emphasize the importance of distinguishing normal anatomic variations from pathological changes.
Main Methods:
- Review of imaging findings (radiographs, ultrasound, MRI) in patients with PTTD and AAFD.
- Analysis of bony and soft tissue abnormalities, including malalignment, variants, enthesopathies, and tendinopathies.
Main Results:
- Imaging demonstrates varied combinations of malalignment, anatomic variants, enthesopathic, and tendinopathic changes.
- Abnormalities are visible across plain radiographs, ultrasound, and magnetic resonance imaging.
Conclusions:
- A comprehensive understanding of imaging modalities is essential for diagnosing PTTD and AAFD.
- Differentiating anatomic variants from pathology is critical for accurate diagnosis and surgical planning.
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