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25.10.2021 | Review Article

Imaging of progressive collapsing foot deformity with emphasis on the role of weightbearing cone beam CT

verfasst von: Carlos Felipe Teixeira Lôbo, Eduardo Araújo Pires, Marcelo Bordalo-Rodrigues, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos

Erschienen in: Skeletal Radiology | Ausgabe 6/2022

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Abstract

The term progressive collapsing foot deformity (PCFD) is currently recommended as the replacement to adult-acquired flatfoot deformity and posterior tibial tendon dysfunction to better reflect its pathology, which consists of a complex three-dimensional deformity involving the foot and ankle. The new consensus has also provided a new classification that requires clinical and radiographic findings for patient stratification into each class. However, conventional radiographs are susceptible to errors resulting from the inadequate positioning of patients, incorrect angulation of the X-ray tube, and overlapping of bone structures. Weightbearing cone beam computed tomography (WBCBCT), which has greater diagnostic accuracy than conventional radiograph, is useful for evaluating progressive collapsing foot deformity to determine medial arch collapse, hindfoot alignment, peritalar subluxation, posterior subtalar joint valgus, intrinsic talus valgus, and lateral extra-articular bone impingement. The present review aimed to discuss the new recommendations for nomenclature, classification, and imaging evaluation of PCFD, with an illustrative and quantitative focus on the measurements used in conventional radiography and WBCBCT. The measurements presented here are important criteria for decision-making.
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Metadaten
Titel
Imaging of progressive collapsing foot deformity with emphasis on the role of weightbearing cone beam CT
verfasst von
Carlos Felipe Teixeira Lôbo
Eduardo Araújo Pires
Marcelo Bordalo-Rodrigues
Cesar de Cesar Netto
Alexandre Leme Godoy-Santos
Publikationsdatum
25.10.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 6/2022
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-021-03942-1

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