[Which typical foot fractures should the radiologist know?].

Radiologe

Institut für Diagnostische und Interventionelle Radiologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Published: May 2018

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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Source
http://dx.doi.org/10.1007/s00117-018-0365-9DOI Listing

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