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Erschienen in: European Radiology 4/2015

01.04.2015 | Musculoskeletal

First metatarsophalangeal joint- MRI findings in asymptomatic volunteers

verfasst von: Tobias Johannes Dietrich, Flora Luciana Figueira da Silva, Marcelo Rodrigues de Abreu, Georg Klammer, Christian W. A. Pfirrmann

Erschienen in: European Radiology | Ausgabe 4/2015

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Abstract

Objectives

To evaluate the spectrum and frequency of MR findings of the first metatarsophalangeal joint (MTPJ) in asymptomatic volunteers.

Methods

MR imaging of 30 asymptomatic forefeet was performed with a dedicated extremity 1.5-Tesla system. Participants were between 20 and 49 years of age (mean ± SD: 35.5 ± 8.4 years). Two radiologists assessed cartilage, bone, capsuloligamentous structures, and tendons of first MTPJs on MR images.

Results

Cartilage defects were observed in 27 % (n = 8) of first MTPJs, most frequently located at the base of the proximal phalanx (23 %, n = 7), whereas cartilage defects of the metatarsal head (13 %, n = 4) and the metatarsosesamoid compartment were rare (0 %–3 %, n = 0-1). Bone marrow oedema-like signal changes were present in 37 % (n = 11) and subchondral cysts in 20 % (n = 6) of first MTPJs. Hyperintense areas on intermediate-weighted sequences (range: 30–43 %, n = 9–13) and on fluid-sensitive sequences with fat suppression (range: 33–60 %, n = 10–18) within the medial and lateral collateral ligament complex were common. Plantar recesses (77 %, n = 23) and distal dorsal recesses (87 %, n = 26) were frequently observed.

Conclusions

Cartilage defects, bone marrow oedema-like signal changes, subchondral cysts, plantar recesses, and distal dorsal recesses were common findings on MRI of first MTPJs in asymptomatic volunteers. The collateral ligaments were often heterogeneous in structure and showed increased signal intensity.

Key Points

Cartilage defects of asymptomatic first metatarsophalangeal joints were common on MRI.
The collateral ligaments were often heterogeneous in structure and showed increased signal intensity.
Areas of increased signal intensity within the flexor and extensor tendons were rare.
These observations need to be considered in MR examinations of symptomatic cases.
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Metadaten
Titel
First metatarsophalangeal joint- MRI findings in asymptomatic volunteers
verfasst von
Tobias Johannes Dietrich
Flora Luciana Figueira da Silva
Marcelo Rodrigues de Abreu
Georg Klammer
Christian W. A. Pfirrmann
Publikationsdatum
01.04.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 4/2015
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3489-y

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