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Radiological approach to metatarsalgia in current practice: an educational review
Océane Palka1, Raphaël Guillin2, Romain Lecigne3
1Department of Radiology, University Hospital of Rennes, Rennes, France. oceanepalka7@gmail.com.
Insights Into Imaging
|April 29, 2025
Summary
Metatarsalgia, or forefoot pain, often stems from foot static disorders. Accurate diagnosis relies on combining clinical findings with imaging techniques like weight-bearing radiographs and MRI.
Area of Science:
- Orthopedics
- Radiology
- Sports Medicine
Background:
- Metatarsalgia is common forefoot pain, frequently caused by foot static disorders.
- Accurate diagnosis is essential for effective management and treatment planning.
Purpose of the Study:
- To critically assess various imaging techniques for diagnosing metatarsalgia.
- To enhance radiological practice and guide therapeutic decision-making for forefoot pain.
Main Methods:
- Review of imaging modalities including weight-bearing radiographs, ultrasound, CT, and MRI.
- Emphasis on the radioclinical approach and combining imaging with clinical data.
Main Results:
- Weight-bearing radiographs are key for foot architecture analysis.
- Ultrasound excels in soft tissue/tendon evaluation; MRI offers superior soft tissue contrast.
- CT aids bone assessment and pre-operative planning.
Conclusions:
- Accurate diagnosis of metatarsalgia requires integrating clinical and imaging data.
- Radiologists play a vital role in diagnosing metatarsalgia and guiding treatment.
- MRI is the gold standard, but ultrasound provides valuable complementary information.
