| Titre : | Use of Advanced Weightbearing Imaging in Evaluation of Hallux Valgus (2020) |
| Auteurs : | Cesar de Cesar Netto ; Martinus Richter |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 25, n° 1, Mars 2020) |
| Article en page(s) : | p. 31-45 |
| Note générale : | https://doi.org/10.1016/j.fcl.2019.10.001 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Hallux valgus ; Mise en charge ; Oignon ; Os sésamoïdes ; Tomodensitométrie |
| Mots-clés: | Tomodensitométrie de la mise en charge |
| Résumé : |
- Weightbearing conventional radiographs provide limited, sectorized, and biased information regarding the complex and 3-dimensional nature of hallux valgus (HV) deformity, leading to potential misinterpretation and poor understanding.
- Cone beam weightbearing computed tomography (WBCT) allows multiplanar 3-dimensional standing weightbearing imaging and a detailed evaluation of HV deformity. - WBCT allowed demonstration that the hypermobility of the first tarsometatarsal (TMT) joint occurs not only in the sagittal plane with increased dorsiflexion, but also into other planes, with increased inversion and adduction. - The hypermobility was shown to be present not only at the first TMT joint, but to extend across the whole first ray, involving the first metatarsophalangeal, naviculocuneiform, and talonavicular joints. - Measurements of pronation deformity in HV using WBCT do not correlate with traditional weightbearing conventional radiograph HV and intermetatarsal angulations. Surgical planning of HV should consider the 3-dimensional pattern of the deformity, and WBCT images should be used when available. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751519301135 |
Bibliothèques HE Vinci
