Acquired Flat Foot Deformity: Postoperative Imaging

Dimmick, Simon; Chhabra, Avneesh; Grujic, Leslie; Linklater, James

doi:10.1055/s-0032-1320122

Cited by 14 publications

(28 citation statements)

References 67 publications

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“…The Kidner procedure provides relief by resecting the symptomatic accessory navicular and anchoring the viable distal tendon fibers to the native navicular with suture anchors or suture screws (27) (Fig 10). Postoperative pain is often due to PTT tendinosis and demonstrates expected findings at follow-up MR imaging (21).…”

Section: Kidner Proceduresmentioning

confidence: 87%

CT and MR Imaging of the Postoperative Ankle and Foot

LiMarzi¹,

Scherer²,

Richardson³

et al. 2016

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A variety of surgical procedures exist for repair of both traumatic and degenerative osseous and soft-tissue pathologic conditions involving the foot and ankle. It is necessary for the radiologist to be familiar with these surgical procedures, so as to assess structural integrity, evaluate for complicating features, and avoid diagnostic pitfalls. Adequate interpretation of postoperative changes often requires access to surgical documentation to evaluate not only the surgery itself but the expected timeline for resolution of normal postoperative changes versus progressive disease. Appropriate use of surgical language in radiology reports is another important skill set to hone and is instrumental in providing a high-quality report to the referring surgeons. The pathophysiology of a myriad of surgical complaints, beginning from the Achilles tendon and concluding at the plantar plate, are presented, as are their common appearances at computed tomography and magnetic resonance imaging. Commonly encountered entities include Achilles tendon tear, spastic equinus, nonspastic equinus, talar dome osteochondral defect, tarsal tunnel syndrome, plantar fasciitis, pes planovalgus, pes cavovarus, peroneal tendinosis, lateral ligament complex pathology, Morton neuroma, plantar plate tear, and metatarsophalangeal joint instability. Computer-generated three-dimensional models are included with many of the procedures to provide a more global view of the surgical anatomy. Correlation with intraoperative photographs is made when available. When appropriate, discussion of postoperative complications, including entities such as infection and failure of graft integration, is presented, although a comprehensive review of postoperative complications is beyond the scope of this article. Notably absent from the current review are some common foot and ankle procedures including hallux valgus and hammertoe corrections, as these are more often evaluated radiographically than with cross-sectional imaging. RSNA, 2016.

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Section: Kidner Proceduresmentioning

confidence: 87%

CT and MR Imaging of the Postoperative Ankle and Foot

LiMarzi¹,

Scherer²,

Richardson³

et al. 2016

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“…Radiography is the main method for the evaluation. The longitudinal arch of the foot must be assessed on a weight bearing lateral foot radiography [11,12]. Inclination angle is low in pes planus (<20°) [13].…”

Section: Discussionmentioning

confidence: 99%

Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle

Doğan¹,

Gül²,

Çullu³

et al. 2019

Journal of Surgery and Medicine

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Fibular hemimelia (FH) is a congenital disease with a clinical spectrum ranging from mild fibular hypoplasia to fibular aplasia. There is no proven genetic factor. Some anomalies can accompany FH such as tarsal coalition, ulnar hemimelia, amelia, syndactyly, several extremity anomalies, renal anomalies and cardiac anomalies. Our case is about unilateral and incomplete type of right-side FH in a 14 years old female patient. Tibia was curved (bowing) and short. Disparity of measure with left lower extremity was monitored. Tarsal coalition in osseous form, tibial curve anomaly and small bone part placed in fibula distal region compatible with FH, were visualized. There was curved joint form in the same ankle with hemimelia compatible with ball and socket ankle deformity. Calcaneal inclination angle was 120°. The findings were compatible with pes planus.

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“…Occasionally the accessory navicular alone is resected. 57 This procedure is reported to have minimal complications; however, occasionally persistent medial pain may be secondary to recurrent or persistent PTT tendinopathy and tenosynovitis, which may be targeted with US-guided intervention.…”

Section: Complications Of the Modified Kidner Procedures And Arthrodesmentioning

confidence: 98%

“…Postoperative tendinopathy is readily evaluated with US examination, identifying tendon thickening, hypoechogenicity, peritenon space thickening, and the localization of suture material that may be causing focal inflammation and pain. 57 However these findings may also represent early normal postsurgical changes. The presence of pain and hyperemia localized to the site of tenderness, however, may indicate the site of focal tendinopathy.…”

Section: Complications Of Flexor Digitorum Longus Transfermentioning

confidence: 99%

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Image-Guided Intervention of the Postoperative Foot and Ankle After Ligament and Tendon Repair

Khanna

Walker

Amiras

et al. 2016

Semin Musculoskelet Radiol

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This review article describes the potential range of image-guided interventional procedures performed following foot and ankle ligament and/or tendon repair. Diagnosis of the cause of recurrent or persistent pain/symptoms in this postoperative group is challenging and requires a coordinated clinical and radiologic assessment. This directs appropriate treatment including image-guided intervention that may be used both as a diagnostic tool and a therapeutic option. There is a paucity of high-quality studies on the role of image-guided intervention in the foot and ankle after ligament/tendon repair. Many of the procedures used in this group are extrapolated from other areas of the body or the preoperative scenario. We review the role of imaging to identify the cause of postsurgical symptoms and to direct appropriate image-guided intervention. The available injectables and their roles are discussed. Specific surgical procedures are described including lateral ligament repair, Achilles repair, posterior tibialis tendon surgery, and peroneal tendon surgery.

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Acquired Flat Foot Deformity: Postoperative Imaging

Cited by 14 publications

References 67 publications

CT and MR Imaging of the Postoperative Ankle and Foot

CT and MR Imaging of the Postoperative Ankle and Foot

Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle

Image-Guided Intervention of the Postoperative Foot and Ankle After Ligament and Tendon Repair

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