Synovial fluid in the hindfoot and ankle: detection of amount and distribution with US.

Nazarian, Levon N.; Rawool, Nandkumar M.; Martin, C E; Schweitzer, Mark E.

doi:10.1148/radiology.197.1.7568837

Cited by 103 publications

(41 citation statements)

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“…It is a flexor of the great toe and assists in plantar flexion of the foot at the ankle. Several studies have confirmed that the FHL tendon sheath communicates with the ankle joint [3][4][5][6]. These have a proximal and distal component, which together make up the synovial sheath of the FHL tendon.…”

Section: Introductionmentioning

confidence: 92%

‘Flexor Hallucis Longus Loose Bodies- An Unusual Cause of Plantar Midfoot Pain’

Shah¹,

Botchu²,

Wj³

2013

OMICS J Radiology 2013

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Section: Introductionmentioning

confidence: 92%

‘Flexor Hallucis Longus Loose Bodies- An Unusual Cause of Plantar Midfoot Pain’

Shah¹,

Botchu²,

Wj³

2013

OMICS J Radiology 2013

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“…Bei gesunden Probanden wurde Flüssigkeit nachgewiesen im MTP-Gelenk sagittal bis zu 3 mm (14), im OSG ventral, sagittal bis 3 mm (14, 21) und dorsal, sagittal bis 1 mm. Flüssigkeit wurde in der Bursa subachillea bis zu 2,5 mm gefunden (21). Um die Sehne des M. tibialis posterior wurde ein Flüssig-keitssaum von maximal 4 mm gefunden.…”

Section: Diskussionunclassified

“…Um die Sehne des M. tibialis posterior wurde ein Flüssig-keitssaum von maximal 4 mm gefunden. Die Peronaeussehnen hatten einen Saum bis 3 mm (21).…”

Section: Diskussionunclassified

Technik und Stellenwert der Arthrosonographie in der rheumatologischen Diagnostik –Teil 3: Sonographie der Sprunggelenke, des Fußes und der Zehen

Schmidt¹,

Hauer

Banzer

et al. 2002

Z Rheumatol

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The clinical investigation of ankles, feet, and toes is frequently equivocal in rheumatology. Sonography can distinguish between underlying pathologies. We suggest following standard scans: 1) anterior longitudinal scan to diagnose effusions in the ankle and talonavicular joints, to display erosive and osteoarthrotic pathologies, and to diagnose tenosynovitis of the extensor tendons; 2) anterior transverse scan to document the findings in an additional dimension; 3) lateral transverse scan and 4) lateral longitudinal scan to diagnose tenosynovitis of the peroneus tendons; 5) medial transverse scan and 6) medial longitudinal scan to diagnose tenosynovitis of the flexor tendons; 7) posterior longitudinal scan and 8) posterior transverse scan to evaluate the Achilles tendon, the retrocalcaneal bursa, and the posterior recess of the ankle joint. Additionally we suggest optional scans: 9) plantar longitudinal scan for the plantar fascia and the plantar calcaneal surface; 10) distal anterior longitudinal scan to evaluate the midtalar joints; 11) distal anterior longitudinal scan to evaluate the toes; and 12) plantar, distal transverse scan to evaluate the flexor tendons of the toes. Additionally, the correlating longitudinal and transverse scans can be used to confirm the findings. The frequency of the transducer should be about 7.5 MHz for ankles and the peroneus, flexor, and extensor tendons. Ten to over 20 MHz are possible for more superficially located structures. Using modern equipment with higher resolution a hypoechoic border may be normal up to 3 mm in the ankle joints, the MTP joints, and around the peroneus tendons, and up to 4 mm around the tibialis posterior tendons.

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“…[1][2][3][4][5][6][7][8] Ultrasonographic detection of differences in the thickness of synovial effusion in the knee joints of RA patients by scanning at different sites has not previously been clearly demonstrated. In the present study, we calculated the thickness of the synovial effusion layer at the lateral, superior, and medial aspects of the patella using the measurement scale on the ultrasonograph.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic evaluation of synovial effusion and synovial proliferation pattern in the knee joints of patients with rheumatoid arthritis

Kasukawa

Takeda

Iwadate

et al. 2002

Modern Rheumatology

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In the present study, 49 knee joints of 26 patients with rheumatoid arthritis and 17 knee joints of 17 healthy subjects were ultrasonographically examined. Lateral, superior, and medial aspects of the patella were scanned using an ultrasonograph with a 7.5-MHz annular array transducer to evaluate the thickness of synovial effusion and the synovial proliferation pattern. The overall mean thickness of synovial effusion (mean of all three sites) in the knee joints was 4.9 Ϯ 3.4 mm for rheumatoid arthritis patients and 1.4 Ϯ 0.5 mm for healthy subjects. In rheumatoid arthritis patients, the mean thickness of synovial effusion at the superior aspect of the patella (6.5 Ϯ 4.1 mm) was significantly greater than that at the lateral aspect (4.5 Ϯ 4.8 mm) (P Ͻ 0.05) and the medial aspect (4.0 Ϯ 3.1 mm) (P Ͻ 0.01). Patients with the villonodular pattern of synovial proliferation had a shorter duration of disease than those with uniform thickening or an overlapping pattern.

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Synovial fluid in the hindfoot and ankle: detection of amount and distribution with US.

Abstract: US of the hindfoot and ankle commonly depicts articular, bursal, and tendon sheath fluid in asymptomatic volunteers. The presence of fluid in these locations, even when unilateral or asymmetric, does not necessarily imply underlying abnormality.

Cited by 103 publications

References 0 publications

‘Flexor Hallucis Longus Loose Bodies- An Unusual Cause of Plantar Midfoot Pain’

‘Flexor Hallucis Longus Loose Bodies- An Unusual Cause of Plantar Midfoot Pain’

Technik und Stellenwert der Arthrosonographie in der rheumatologischen Diagnostik –Teil 3: Sonographie der Sprunggelenke, des Fußes und der Zehen

Ultrasonographic evaluation of synovial effusion and synovial proliferation pattern in the knee joints of patients with rheumatoid arthritis

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