Clinical/methodical Issue: Due to mechanical loading and the number of joints involved, fractures of the foot are among the most common fractures.
Standard Radiological Methods: X-ray is basis for diagnostic workup of all foot fractures.
Methodical Innovations: For stress fractures, the additional use of magnetic resonance imaging (MRI) is indicated. Computed tomography (CT) can be used for preoperative imaging of intraarticular tarsal fractures.
Performance: Simple traumatic fractures can be reliably diagnosed by X‑ray. On the other hand, there is a poor sensitivity for stress fractures.
Achievements: Using a combination of X‑ray, MRI, and CT, it is possible to reliably diagnosis and classify foot fractures.
Practical Recommendations: The first step to diagnose a foot fracture should be the X‑ray. CT and MRI can also be used to detect intra-articular fractures and MRI can be used for stress fractures.
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http://dx.doi.org/10.1007/s00117-018-0365-9 | DOI Listing |
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