1) In this pictorial poster,
we show different causes of foot pain.
2) Review image modalities used to assess foot.
3) Understand important imaging features that aid in correct diagnosis of the given pathology.
It is worthwhile for a radiologist to have some knowledge of the potential causes of foot pain and their imaging features.
Thesecan be broadly divided as follows:
Trauma: radiographically occult fracture,
plantar plate disruption.
Joint disorders: osteoarthritis,
Tendon disorders: tendinosis,
Non-neoplastic soft-tissue masses: Morton neuroma,
Neoplastic masses: bone tumoours,
benign soft-tissue tumours,
malignant soft-tissue tumours.
Imaging findings OR Procedure Details
Multimodality imaging is used for different purposes such as:
Plain radiograph for osseous lesions.
Ultrasound forpreliminary evaluation of the soft tissue such as fascia,
ligaments and bursa.
CT has great value in evaluation of osseous lesions and trauma.
MRI has superior soft tissue contrast resolution and therefore remains the modality of choice for foot investigation.
We discuss the spectrum of pathologies that can occur in the foot region and their imaging characteristics to aid in the diagnosis.
Morton neuromas are not...
Certain populations appear to be at increased risk of developing foot pain.
These include: older adults,
active adults who participate in sports that involve running and jumping,
active military personnel,
and those engaged in certain occupations.
Foot pain can be produced by wide range of pathology,
which makes it challenging for both clinicians and radiologists to find a correct diagnosis.
Musculoskeletal radiologists must therefore be aware of the differential diagnosesa simple foot pain may represent.
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University Clinical Center of the Republic of Srpska; Banja Luka ,