3-4 days free worldwide delivery

Practical ultrasound (US) of the forefoot

by MASS4D® Prescription Orthotics June 07, 2017

Abstracts

This article presents the ultrasound (US) technique of examination of the forefoot followed by a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders.

A basic history and local physical examination must be obtained in all patients to focalise the US examination; this approach significantly shortens the examination time.

Localised tenderness while increasing the pressure through the transducer helps in focusing the US examination and permits more in depth assessment of the affected structures.

For routine US examination, the author used a two-position standard examination.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Position 1 involved examining the patient supine with the knee flexed at 90 degrees and the plant of the foot resting on the bed.

This position allows adequate stabilisation of the foot and ankle flexion resulting in extensor tendons stretching.

The author assessed the dorsal aspect of the forefoot starting the examination at the level of the metatarsals and moving them distally over the metatarsophalangeal (MTP) and interphalangeal joints.

The author identified different extensor tendons starting the examination at the anterior aspect of the ankle and then following them till the distal insertion trough transverse images.

Position 2 involved the patient being examined with the knee extended and the leg resting on the examination bed.

Transverse and sagittal images were obtained over the distal half of the plantar aspect of the foot.

The skin, subcutaneous tissues and plantar fascia were examined followed by the flexor tendons and forefoot joints.

The author also provided a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders namely, rheumatoid arthritis, osteoarthritis, overuse arthropathy, Morton’s neuroma, bursitis, mucoid cysts, foreign bodies and bone disorders.

Copyright 2017 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


References:

  1. Bianchi, S. (2014) Practical US of the forefoot. Journal of Ultrasound: June 2014, Vol. 17, No. 2, pp. 151-164. DOI:10.1007/s40477-014-0078-5

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Abstracts
Foot and ankle history and clinical examination: A guide to everyday practice

by MASS4D® Prescription Orthotics August 12, 2018

This review summarises the keys points in taking a full history and performing a systematic clinical examination for patients with foot and ankle problem.

Read More

Abstracts
A comparison of running kinetics in children with and without genu varus: A cross sectional study

by MASS4D® Prescription Orthotics August 07, 2018

The aims of the present study were to examine differences in three dimensional ground reaction forces (GRF) during running at preferred speed in boys with genu varus compared to age-matched healthy controls.

Read More

Abstracts
Foot Structure in Boys with Down Syndrome

by MASS4D® Prescription Orthotics July 29, 2018

The aim of this study was the analysis of selected features of the foot structure in boys with Down Syndrome (DS) versus their age- and gender-matched peers without the condition.

Read More