Filippini Claire, Teh James
Nuffield Orthopaedic Centre , Oxford University Hospitals NHS Trust , Oxford , UK.
J Ultrason. 2019;19(77):145-151. doi: 10.15557/JoU.2019.0021. Epub 2019 Jun 28.
Foot pain is a common problem among adults, with approximately 19% of men and 25% of women describing significant daily foot pain that limits their ability to function. Older adults, the obese, and active adults participating in sports involving running and jumping are at increased risk of developing pathology. Problems affecting the sole of the foot are often the cause of pain. Ultrasound is an extremely useful method of quickly and accurately localizing and characterizing pathology of the foot. The wide availability of ultrasound combined with its low cost, lack of ionizing radiation, high spatial resolution, multiplanar capability and excellent patient tolerance makes it an ideal technique for assessing the superficial structures in the sole of the foot. Ultrasound has the advantage of dynamic assessment over other imaging modalities. Furthermore, Doppler interrogation allows a real-time assessment of vascularity, not possible using other techniques. The ability to perform extended field of view images allows improved image presentation, which has increased clinicians' acceptance of the technique. Finally, ultrasound can be used to guide interventional procedures. This review article will consider the ultrasound features of pathology commonly affecting the sole of the foot, and will describe MRI correlates that can be expected. Foot pain is a common problem among adults, with approximately 19% of men and 25% of women describing significant daily foot pain that limits their ability to function. Older adults, the obese, and active adults participating in sports involving running and jumping are at increased risk of developing pathology. Problems affecting the sole of the foot are often the cause of pain. Ultrasound is an extremely useful method of quickly and accurately localizing and characterizing pathology of the foot. The wide availability of ultrasound combined with its low cost, lack of ionizing radiation, high spatial resolution, multiplanar capability and excellent patient tolerance makes it an ideal technique for assessing the superficial structures in the sole of the foot. Ultrasound has the advantage of dynamic assessment over other imaging modalities. Furthermore, Doppler interrogation allows a real-time assessment of vascularity, not possible using other techniques. The ability to perform extended field of view images allows improved image presentation, which has increased clinicians’ acceptance of the technique. Finally, ultrasound can be used to guide interventional procedures. This review article will consider the ultrasound features of pathology commonly affecting the sole of the foot, and will describe MRI correlates that can be expected.
足部疼痛是成年人中的常见问题，约19%的男性和25%的女性称每天有严重的足部疼痛，这限制了他们的功能活动能力。老年人、肥胖者以及参与涉及跑跳运动的活跃成年人患病理疾病的风险增加。影响足底的问题通常是疼痛的原因。超声是一种极其有用的方法，可快速、准确地定位和鉴别足部病理情况。超声广泛可用，且成本低、无电离辐射、空间分辨率高、具备多平面成像能力以及患者耐受性良好，使其成为评估足底浅表结构的理想技术。与其他成像方式相比，超声具有动态评估的优势。此外，多普勒检查可实时评估血管情况，这是其他技术无法做到的。进行宽视野成像的能力可改善图像呈现效果，从而提高了临床医生对该技术的接受度。最后，超声可用于引导介入操作。这篇综述文章将探讨通常影响足底的病理情况的超声特征，并描述预期的MRI相关性。足部疼痛是成年人中的常见问题，约19%的男性和25%的女性称每天有严重的足部疼痛，这限制了他们的功能活动能力。老年人、肥胖者以及参与涉及跑跳运动的活跃成年人患病理疾病的风险增加。影响足底的问题通常是疼痛的原因。超声是一种极其有用的方法，可快速、准确地定位和鉴别足部病理情况。超声广泛可用，且成本低、无电离辐射、空间分辨率高、具备多平面成像能力以及患者耐受性良好，使其成为评估足底浅表结构的理想技术。与其他成像方式相比，超声具有动态评估的优势。此外，多普勒检查可实时评估血管情况，这是其他技术无法做到的。进行宽视野成像的能力可改善图像呈现效果，从而提高了临床医生对该技术的接受度。最后，超声可用于引导介入操作。这篇综述文章将探讨通常影响足底的病理情况的超声特征，并描述预期的MRI相关性。
