“…A gouty tophus is an amorphous or crystalline mass of urate with a surrounding layer of inflammatory tissue [43]. Lesions typically occur at the metatarsophalangeal or interphalangeal joints [44]. In rare cases extensive tophaceous gout can result in multiple soft tissue masses with destruction of multiple bones of the foot [45].…”
In the foot and ankle region, benign neoplasms and pseudotumoural soft tissue lesions are significantly more frequent than malignant tumours. The pseudotumoural lesions constitute a heterogeneous group, with highly varied aetiology and histopathology. This article reviews the imaging features of the most common pseudotumours of the soft tissues in the foot and ankle. Although the imaging characteristics of several of the lesions discussed are non-specific, combining them with lesion location and clinical features allows the radiologist to suggest a specific diagnosis in most cases.
“…A gouty tophus is an amorphous or crystalline mass of urate with a surrounding layer of inflammatory tissue [43]. Lesions typically occur at the metatarsophalangeal or interphalangeal joints [44]. In rare cases extensive tophaceous gout can result in multiple soft tissue masses with destruction of multiple bones of the foot [45].…”
In the foot and ankle region, benign neoplasms and pseudotumoural soft tissue lesions are significantly more frequent than malignant tumours. The pseudotumoural lesions constitute a heterogeneous group, with highly varied aetiology and histopathology. This article reviews the imaging features of the most common pseudotumours of the soft tissues in the foot and ankle. Although the imaging characteristics of several of the lesions discussed are non-specific, combining them with lesion location and clinical features allows the radiologist to suggest a specific diagnosis in most cases.
“…Plain radiography and magnetic resonance imaging are usually helpful to understand the changes in the bone and soft tissues related to gout and thus, to differentiate from other joint diseases and tumoral lesions (10)(11)(12).…”
In this study, we present the first report of a case of gout arthritis localized in the interphalangeal joint of the right foot first toe, which was related to psoriasis disease in a 40-year-old male patient. Since the symptoms did not respond to conservative treatments, the patient was treated with surgery. Arthrotomy was performed to debride around the bones and intraarticular crystals. Then, pharmacological treatment was initiated and lifestyle changes were made. No recurrence of the symptoms was observed during a 24-month follow-up.
“…Plantar fibromatosis is more difficult to assess clinically as it appears as non-specific masses of the plantar area without contracture. Medical imaging is frequently obtained in the work-up of these masses [27, 28]. As for palmar fibromatosis, imaging of plantar fibromatosis demonstrates nodules deep to the hypodermis, in continuity with the plantar aponeurosis, typically multiple.…”
Section: Introductionmentioning
confidence: 99%
“…13) [29]. In case of non-typical appearance at MRI, multi-disciplinary discussion is recommended to decide the necessity to biopsy [27, 28]. Fig.…”
The fascial system is a continuum of connective tissues present everywhere throughout the body that can be locally involved in a large variety of disorders. These disorders include traumatic disorders (Morel-Lavallée lesion, myo-aponeurotic injuries, and muscle hernia), septic diseases (necrotizing and non-necrotizing cellulitis and fasciitis), and neoplastic diseases (superficial fibromatosis, desmoid tumors, and sarcomas). The current pictorial review aims to focus on these localized disorders involving the fasciae of the musculoskeletal system and their appearance at MRI.
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