By Ronald S. Adler PhD MD, Carolyn M. Sofka MD, Rock G. Positano DPM MSc MPH
Prepared via top specialists in musculoskeletal ultrasound and a widely known podiatrist, this atlas is a whole advisor to using ultrasound within the analysis of foot and ankle problems. greater than one hundred sixty illustrations show either common ultrasound anatomy and numerous universal (and a few unusual) pathologic states.
For each one quarter of the foot and ankle, the atlas indicates basic ultrasound anatomy and appearances of particular issues. The authors examine the application of ultrasound and MRI, fairly in detecting tender tissue accidents and overseas our bodies. A bankruptcy on ultrasound-guided healing injections and diagnostic aspirations is additionally included.
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Extra resources for Atlas of Foot and Ankle Sonography
54 55 56 FIG. 4-12. The tendons should be followed using a systematic approach in short axis from origin to insertion. These images represent short axis views of the peroneal tendons, (A) above the lateral sulcus, (B) at the lateral sulcus, (C) at the level of the calcaneofibular ligament, and, (D) at the peroneal tubercle (arrow) of the calcaneus. At each level, abnormal tendon morphology and tendon sheath fluid or thickening can be appreciated. FIG. 4-13. Short axis views of the peroneal tendons at the level of the lateral peroneal sulcus (A) and calcaneofibular ligament (B).
AJR Am J Roentgenol 2000; 174 (6):1723-1728. 3. Morscher E, Ulrich J, Dick W. Morton's intermetatarsal neuroma: morphology and histological substrate. Foot Ankle Int 2000;21(7):558-562. 4. Read JW, Noakes JB, Kerr D, et al. Morton's metatarsalgia: sonographic findings and correlated histopathology. Foot Ankle Int 1999;20(3): 153-161. 5. Fessell DP, van Holsbeeck MT. Foot and ankle sonography. Radiol Clin North Am 1999;37(4):831-858. 6. Levine SE, Myerson MS, Shapiro PP, et al. Ultrasonographic diagnosis of recurrence after excision of an interdigital neuroma.
Soft tissue ganglia are seen as discrete, encapsulated, hypoechoic masses, often in close proximity to an arthritic joint (1,2) (Fig. 3-1). There is usually little, if any, regional hyperemia on Doppler imaging. Posterior acoustic enhancement may be identified as well as edge artifact, although the posterior margin may be obscured by cortical bone. The material within the ganglia is often very viscous, and sonographically guided aspiration of the cysts, even with a large-gauge needle, can yield little or no fluid.
Atlas of Foot and Ankle Sonography by Ronald S. Adler PhD MD, Carolyn M. Sofka MD, Rock G. Positano DPM MSc MPH