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Sports MRI

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Sports Injuries of the Foot

Abstract

Magnetic resonance imaging (MRI) of the foot can be a valuable diagnostic tool when managing patients with sports injuries to the foot. Improvements in technology are providing foot and ankle surgeons with detailed anatomic images with better resolution and enhanced diagnostic accuracy. While MRI is a powerful tool, it is important to understand the implications of ordering these studies without a particular diagnosis in mind. It is crucial that surgeons be comfortable interpreting MRI scans so they may be able to use them appropriately to guide their clinical decision making. The objective of the following chapter is to review several common sports injuries to the foot and their associated MRI findings.

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References

  1. Geva T. Magnetic resonance imaging: historical perspective. J Cardiovasc Magn Reson. 2006;8:573–80.

    Article  PubMed  Google Scholar 

  2. Lauterbur PC. Image formation by induced local interactions: examples of employing nuclear magnetic resonance. Nature. 1973;242:190–1.

    Article  CAS  Google Scholar 

  3. Chhabra A. 3T magnetic resonance imaging of the ankle and foot. Foot Ankle Int. 2012;33:164–71.

    Article  PubMed  Google Scholar 

  4. Tocci SL, Madom IA, et al. The diagnostic value of MRI in foot and ankle surgery. Foot Ankle Int. 2007;28:166–8.

    Article  PubMed  Google Scholar 

  5. Curtis MJ, Myerson M, Szura B. Tarsometatarsal joint injuries in the athlete. Am J Sports Med. 1993;21:497–502.

    Article  PubMed  CAS  Google Scholar 

  6. Sherief TI, Mucci B, Greiss M. Lisfranc injury: how frequently does it get missed? And how can we improve? Injury. 2007;38:856–60.

    Article  PubMed  Google Scholar 

  7. Peicha G, Labovitz J, Seibert FJ, Grechenig W, Weiglein A, Preidler KW, Quehenberger F. The anatomy of the joint as a risk factor for Lisfranc dislocation and fracture-dislocation. An anatomical and radiological case-control study. J Bone Joint Surg Br. 2002;84:981–5.

    Article  PubMed  CAS  Google Scholar 

  8. Myerson MS, Fisher RT, Burgess AR, Kenzora JE. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6:225–42.

    Article  PubMed  CAS  Google Scholar 

  9. Preidler KW, Wang YC, Brossman J, et al. Tarsometatarsal joint: anatomic details on MR images. Radiology. 1996;199:733–6.

    PubMed  CAS  Google Scholar 

  10. de Palma L, Santucci A, Sabetta SP, et al. Anatomy of the Lisfranc joint complex. Foot Ankle Int. 1997;18:356–64.

    Article  PubMed  Google Scholar 

  11. Crim J. MR imaging evaluation of subtle Lisfranc injuries: the midfoot sprain. Magn Reson Imaging Clin N Am. 2008;16:19–27.

    Article  PubMed  Google Scholar 

  12. Raikin SM, Elias I, et al. Prediction of midfoot instability in the subtle Lisfranc injury. J Bone Joint Surg Am. 2009;91A:892–9.

    Article  Google Scholar 

  13. Ting A, Morrison W, Kavanagh E. MR imaging of midfoot injury. Magn Reson Imaging Clin N Am. 2008;16(1):105–15.

    Article  PubMed  Google Scholar 

  14. Zoga A, Schweitzer M. Imaging sports injuries of the foot and ankle. Magn Reson Imaging Clin N Am. 2003;11:295–310.

    Article  PubMed  Google Scholar 

  15. Sudi K, et al. Anorexia athletica. Nutrition. 2004;20:657–61.

    Article  PubMed  Google Scholar 

  16. Brukner P, Bennell K. Stress fractures in female athletes. Diagnosis, management and rehabilitation. Sports Med. 1997;24(6):419–29.

    Article  PubMed  CAS  Google Scholar 

  17. Wall J, Feller J. Imaging of stress fractures in runners. Clin Sports Med. 2006;25:781–802.

    Article  PubMed  Google Scholar 

  18. Deland JT, Lee KT, Sobel M, DiCarlo EF. Anatomy of the plantar plate and its attachments in the lesser metatarsal phalangeal joint. Foot Ankle Int. 1995;16:480–6.

    Article  PubMed  CAS  Google Scholar 

  19. Johnston 3rd RB, Smith J, Daniels T. The plantar plate of the lesser toes: an anatomical study in human cadavers. Foot Ankle Int. 1994;15:276–82.

    Article  PubMed  Google Scholar 

  20. Rodeo SA, O’Brien S, Warren RF, et al. Turf-toe: an analysis of metatarsophalangeal joint sprains in professional football players. Am J Sports Med. 1990;18(3):280–5.

    Article  PubMed  CAS  Google Scholar 

  21. Yao L, Cracchiolo A, Farahani K, Seeger LL. Magnetic resonance imaging of plantar plate rupture. Foot Ankle Int. 1996;17:33–6.

    Article  PubMed  CAS  Google Scholar 

  22. Umans HR, Elsinger E. The plantar plate of the lesser metatarsophalangeal joints: potential for injury and role of MR imaging. Magn Reson Imaging Clin N Am. 2001;9:659–69.

    PubMed  CAS  Google Scholar 

  23. Gregg J, Silberstein M, Schneider T, Marks P. Sonographic and MRI evaluation of the plantar plate: a prospective study. Eur Radiol. 2006;16:2661–9.

    Article  PubMed  Google Scholar 

  24. Nery C, Coughlin M, et al. MRI evaluation of the MTP plantar plates compared with arthroscopic findings: a prospective study. Foot Ankle Int. 2013;34:315–22.

    Article  PubMed  Google Scholar 

  25. Davies MS, Saxby TS. Arthroscopy of the first metatarsophalangeal joint. J Bone Joint Surg Br. 1999;81-B:203–6.

    Article  Google Scholar 

  26. Weishaupt D, Schweitzer ME. MR imaging of the foot and ankle: patterns of bone signal abnormalities. Eur Radiol. 2002;12:416–26.

    Article  PubMed  Google Scholar 

  27. McBryde AM, Anderson RB. Sesamoid foot problems in the athlete. Clin Sports Med. 1988;7:41–60.

    Google Scholar 

  28. Edwards ME. The relations of the peroneal tendons to the fibula, calcaneus, and cuboideum. Am J Anat. 1928;42:213–53.

    Article  Google Scholar 

  29. Khoury NJ, el-Khoury GY, Saltzman CL, Kathol MH. Peroneus longus and brevis tendon tears: MR imaging evaluation. Radiology. 1996;200:833–41.

    PubMed  CAS  Google Scholar 

  30. Thompson FM, Patterson AH. Rupture of the peroneus longus tendon: a report of three cases. J Bone Joint Surg Am. 1989;71:293–5.

    PubMed  CAS  Google Scholar 

  31. Rademaker J, Rosenberg Z, et al. Tear of the peroneus longus tendon: MR imaging features in nine patients. Radiology. 2000;214:700–4.

    Article  PubMed  CAS  Google Scholar 

  32. Oden RR. Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res. 1987;216:63–9.

    PubMed  Google Scholar 

  33. Park HJ, Lee SY, et al. Accuracy of MR findings in characterizing peroneal tendons disorders in comparison with surgery. Acta Radiol. 2012;53:795–801.

    Article  PubMed  Google Scholar 

  34. Larsen E. Longitudinal rupture of the peroneus brevis tendon. J Bone Joint Surg Br. 1987;69:340–1.

    PubMed  CAS  Google Scholar 

  35. Lamm BM, Myers DT, et al. Magnetic resonance imaging and surgical correlation of peroneus brevis tears. J Foot Ankle Surg. 2004;43(1):30–6.

    Article  PubMed  Google Scholar 

  36. Quirk R. Common foot and ankle injuries in dance. Orthop Clin North Am. 1994;25:123–33.

    PubMed  CAS  Google Scholar 

  37. Hillier JC, Peace K, Hulme A, Healy JC. MRI features of foot and ankle injuries in ballet dancers. Br J Radiol. 2004;77:532–7.

    Article  PubMed  CAS  Google Scholar 

  38. Lo LD, Schweitzer ME, Fan JF, Wapner KL, Hecht PJ. MR imaging findings of entrapment of the flexor hallucis longus tendon. AJR Am J Roentgenol. 2001;176:1145–8.

    Article  PubMed  CAS  Google Scholar 

  39. Murphy GA. Disorders of tendons and fascia. In: Canale ST, editor. Campbell’s operative orthopaedics. 10th ed. St. Louis: Mosby; 2003. p. 4204.

    Google Scholar 

  40. Masciocchi C, Catalucci A, Barile A. Ankle impingement syndromes. Eur J Radiol. 1998;27 Suppl 1:S70–3.

    Article  PubMed  Google Scholar 

  41. Dunfee WR, Murray MK, Kneeland JB. Imaging of athletic injuries to the ankle and foot. Radiol Clin N Am. 2002;40:289–312.

    Article  PubMed  Google Scholar 

  42. Patten A, Wai-Ki P. Spontaneous rupture of the tibialis anterior tendon: a case report and literature review. Foot Ankle Int. 2000;21:697–700.

    PubMed  CAS  Google Scholar 

  43. Boutin RD, Brossmann J, Sartoris DJ, et al. Update on imaging of orthopedic infections. Orthop Clin North Am. 1998;29:41–66.

    Article  PubMed  CAS  Google Scholar 

  44. Miller TT, Randolph Jr DA, et al. Fat-suppressed MRI of musculoskeletal infection: fast T2-weighted techniques versus gadolinium-enhanced T1-weighted images. Skeletal Radiol. 1997;26:654–8.

    Article  PubMed  CAS  Google Scholar 

  45. Tan PL, Teh J. MRI of the diabetic foot: differentiation of infection from neuropathic change. Br J Radiol. 2007;80:939–48.

    Article  PubMed  CAS  Google Scholar 

  46. Kaar S, Femino J, Morag Y. Lisfranc joint displacement following sequential ligament sectioning. J Bone Joint Surg. 2007;89(10):2225–32.

    Article  PubMed  Google Scholar 

  47. Kidner FC. The prehallux (accessory scaphoid) in its relation to flat-foot. J Bone Joint Surg. 1929;11:831–7.

    Google Scholar 

  48. Lawson JP, Ogden JA, Sella E, Barwick KW. The painful accessory navicular. Skeletal Radiol. 1984;12:250–62.

    Article  PubMed  CAS  Google Scholar 

  49. Mosel LD, Kat E, Voyvodic F. Imaging of the symptomatic type II accessory navicular bone. Australas Radiol. 2004;48(2):267–71.

    Article  PubMed  Google Scholar 

  50. Bernaerts A, Vanhoenacker FM, Van de Perre S, De Schepper AM, Parizel PM. Accessory navicular bone: not such a normal variant. JBR-BTR. 2004;87(5):250–1.

    PubMed  CAS  Google Scholar 

  51. Miller TT, Staron RB, Feldman F, Parisien M, Glucksman WJ, Gandolfo LH. The symptomatic accessory tarsal navicular bone: assessment with MR imaging. Radiology. 1995;195(3):849–53.

    PubMed  CAS  Google Scholar 

  52. Shortt CP. Magnetic resonance imaging of the midfoot and forefoot: normal variants and pitfalls. Magn Reson Imaging Clin N Am. 2010;18(4):707.

    Article  PubMed  Google Scholar 

  53. Lohman M, Kivisaari A, Vehmas T, Kallio P, Malmivaara A, Kivisaari L. MRI abnormalities of foot and ankle in asymptomatic, physically active individuals. Skeletal Radiol. 2001;30(2):61–6.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Steven M. Raikin MD .

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Aynardi, M., Raikin, S.M. (2014). Sports MRI. In: Philbin, T. (eds) Sports Injuries of the Foot. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7427-3_2

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  • DOI: https://doi.org/10.1007/978-1-4899-7427-3_2

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  • Online ISBN: 978-1-4899-7427-3

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