Deconinck K, Bellemans M, Van Herreweghe W
Department of Radiology, Algemeen Ziekenhuis Stuivenberg, Antwerp, Belgium.
J Belge Radiol. 1991;74(1):1-9.
The authors stress the importance of CT examination in certain pathologic conditions of the heel and midfoot. In this region the bone structures form complicated articulations which can be affected by a number of disorders. This study (43 cases) includes the normal CT images of the heel and midfoot and an illustration of the various pathologic conditions encountered in this region: heel traumata (18 cases), bone tumors (4 cases), congenital coalitions (5 cases), and some inflammatory and soft tissue disorders (12 cases). Depending on the clinical aspect a coronal and/or axial incidence with fine slice technique and adapted bone or soft tissue algorithm was chosen. Especially traumatic lesions and congenital coalitions can benefit from better therapy if a good visualisation is obtained. In uneasy instances, CT provides additional information.
作者强调CT检查在足跟和中足某些病理状况中的重要性。在该区域，骨骼结构形成复杂的关节，可能受到多种疾病的影响。本研究（43例）包括足跟和中足的正常CT图像以及该区域所遇到的各种病理状况的图示：足跟创伤（18例）、骨肿瘤（4例）、先天性联合（5例）以及一些炎症和软组织疾病（12例）。根据临床情况，选择采用薄层技术以及合适的骨或软组织算法的冠状位和/或轴位扫描。如果能获得良好的可视化效果，尤其是创伤性病变和先天性联合，可从更好的治疗中获益。在疑难病例中，CT可提供额外信息。
