G Bratke1, V Neuhaus1, K Slebocki1, S Haneder2, R Rau1. 1. Institut für Diagnostische und Interventionelle Radiologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland. 2. Institut für Diagnostische und Interventionelle Radiologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland. Stefan.Haneder@uk-koeln.de.
Abstract
CLINICAL/METHODICAL ISSUE: Due to mechanical loading and the number of joints involved, fractures of the foot are among the most common fractures. STANDARD RADIOLOGICAL METHODS: X-ray is basis for diagnostic workup of all foot fractures. METHODICAL INNOVATIONS: For stress fractures, the additional use of magnetic resonance imaging (MRI) is indicated. Computed tomography (CT) can be used for preoperative imaging of intraarticular tarsal fractures. PERFORMANCE: Simple traumatic fractures can be reliably diagnosed by X‑ray. On the other hand, there is a poor sensitivity for stress fractures. ACHIEVEMENTS: Using a combination of X‑ray, MRI, and CT, it is possible to reliably diagnosis and classify foot fractures. PRACTICAL RECOMMENDATIONS: The first step to diagnose a foot fracture should be the X‑ray. CT and MRI can also be used to detect intra-articular fractures and MRI can be used for stress fractures.
CLINICAL/METHODICAL ISSUE: Due to mechanical loading and the number of joints involved, fractures of the foot are among the most common fractures. STANDARD RADIOLOGICAL METHODS: X-ray is basis for diagnostic workup of all foot fractures. METHODICAL INNOVATIONS: For stress fractures, the additional use of magnetic resonance imaging (MRI) is indicated. Computed tomography (CT) can be used for preoperative imaging of intraarticular tarsal fractures. PERFORMANCE: Simple traumatic fractures can be reliably diagnosed by X‑ray. On the other hand, there is a poor sensitivity for stress fractures. ACHIEVEMENTS: Using a combination of X‑ray, MRI, and CT, it is possible to reliably diagnosis and classify foot fractures. PRACTICAL RECOMMENDATIONS: The first step to diagnose a foot fracture should be the X‑ray. CT and MRI can also be used to detect intra-articular fractures and MRI can be used for stress fractures.
Authors: M Cody O'Dell; Diego Jaramillo; Laura Bancroft; Laura Varich; Gregory Logsdon; Sabah Servaes Journal: Radiographics Date: 2016-10 Impact factor: 5.333
Authors: Markus J Sormaala; Maria H Niva; Martti J Kiuru; Ville M Mattila; Harri K Pihlajamäki Journal: J Bone Joint Surg Am Date: 2006-10 Impact factor: 5.284