By Ronald S. Adler PhD MD, Carolyn M. Sofka MD, Rock G. Positano DPM MSc MPH

Prepared via best specialists in musculoskeletal ultrasound and a well known podiatrist, this atlas is an entire advisor to using ultrasound within the analysis of foot and ankle problems. greater than one hundred sixty illustrations exhibit either general ultrasound anatomy and numerous universal (and a few unusual) pathologic states.

For every one zone of the foot and ankle, the atlas indicates general ultrasound anatomy and appearances of particular problems. The authors examine the software of ultrasound and MRI, fairly in detecting tender tissue accidents and overseas our bodies. A bankruptcy on ultrasound-guided healing injections and diagnostic aspirations is additionally included.

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29 33 34 FIG. 2-18. A: Longitudinal image of the first metatarsophalangeal (MTP) joint in a patient with hallux valgus deformity demonstrating a small effusion. The first metatarsal (MT1) and proximal phalanx (PP) are labeled. B: Long axis view of the first MTP joint in the same patient, scanned along the medial joint line, demonstrates cystic change in the first metatarsal head (arrow). 30 34 35 FIG. 2-19. A: Longitudinal ultrasound image of the first metatarsophalangeal (MTP) joint demonstrating moderate osteoarthritis.

A medium- or higher-frequency linear probe can be employed, and the approach to the tibiotalar joint is usually from an anterior parasagittal approach, avoiding the dorsalis pedis artery, or from a short axis (lateral or medial) approach (Fig. 4-34). 48 50 51 FIG. 4-6. In this transverse image (anatomic axial plane) obtained over the medial compartment, the posterior tibial tendon and flexor digitorum longus tendons (right) are separated by fluid in their common tendon sheath (arrow). The neurovascular bundle can be seen to the left of the image.

4-16. Tendon abnormalities should be imaged in two planes, as indicated in this case of posterior tibial tendinosis. Although short axis views are sensitive to subtle tendinosis, the full extent of the tendinopathy, as well as its relationship to other anatomic landmarks, is better appreciated in long axis. In this case, the short axis view (A) shows intrasubstance clefts, enlargement, and indistinct margins of the tendon (arrow). In part B, one can better appreciate the extent of this abnormality (arrows) as the tendon passes over the medial malleolus (MM).

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