Is Advanced Imaging Necessary Before Surgical Repair

Baca, John M.; Zdenek, Colin; Catanzariti, Alan R.; Mendicino, Robert W.

doi:10.1016/j.cpm.2014.03.010

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…The use of advanced imaging before surgical repair of PTT dysfunction is still subject to discussion (Baca et al 2014): The use of MRI seems to be advantageous especially in early stages of the disease and unclear conditions, as MRI allows evaluation of the tarsal tunnel (Erickson et al 1990), the distal tendon insertion in case of accessory navicular bone (Kiter et al 1999), and secondary signs of PTT dysfunction such as tibial spurs, subtendinous bone edema, unroofing of the talus and tendon (sub-) luxation (Schweitzer and Karasick 2000). In addition, associated pathologies such as spring ligament (Yao et al 1999; Williams et al 2013) and sinus tarsi abnormalities are seen on MRI especially in advanced PTT dysfunction and could then be addressed during surgery (Balen and Helms 2001; Shibuya et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Comparison of preoperative MRI and intraoperative findings of posterior tibial tendon insufficiency

et al. 2016

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BackgroundThe purpose of this study was to investigate the radiological and surgical correlation between preoperative magnetic resonance images (MRI) and the intraoperative findings in patients with acquired adult flatfoot.ResultsThe overall radiological–surgical correlation between preoperative MRI and the intraoperative findings for posterior tibial tendon insufficiency was only slight to fair in our patient’s series. Comparing the most commonly used posterior tibial tendon classification systems, the classification of Rosenberg et al. and Kong et al. showed higher interobserver agreement than our modified classification system and the classification system of Conti et al.ConclusionFurther prospective studies are needed to evaluate the importance of preoperative MRI before surgical repair of posterior tibial tendon dysfunction.

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Section: Discussionmentioning

confidence: 99%

Comparison of preoperative MRI and intraoperative findings of posterior tibial tendon insufficiency

et al. 2016

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“…If there is uncertainty of the presence of an accessory navicular or the condition of the PTT, advanced imaging such as MRI and computed tomography may be indicated. 12 This procedure is best used for stage 1 and 2 PTTD.…”

Section: Modified Kidner Proceduresmentioning

confidence: 99%

“…Advanced Imaging such as MRI can be used to further evaluate the PTT if desired. 12 Routine foot radiographs are usually all that is needed for preoperative planning for correction of a stage 2 flatfoot. The FDL tendon transfer for stage 2 PTTD has been proved to be reliable and predicable.…”

Section: Flexor Digitorum Longus Tendon Transfermentioning

confidence: 99%