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足进展性塌陷性畸形负重 CT 评估应用的共识。

Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity.

机构信息

Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.

Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

出版信息

Foot Ankle Int. 2020 Oct;41(10):1277-1282. doi: 10.1177/1071100720950734. Epub 2020 Aug 27.

DOI:10.1177/1071100720950734
PMID:32851880
Abstract

RECOMMENDATION

There is evidence that the use of imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If available, a hindfoot alignment view is strongly recommended. If available, computed tomography (CT) is strongly recommended for surgical planning. When CT is obtained, important findings to be assessed are sinus tarsi impingement, subfibular impingement, increased valgus inclination of the posterior facet of the subtalar joint, and subluxation of the subtalar joint at the posterior and/or middle facet.

LEVEL OF EVIDENCE

Level V, consensus, expert opinion.

摘要

建议

影像学辅助检查可用于评估进行性距下关节骨塌陷(PCFD)。评估 PCFD 患者时需要进行以下常规 X 线检查:足正位、踝正位或踝穴位、足侧位。如果可能,强烈推荐跟骨侧位。如果可能,强烈推荐 CT 用于手术计划。当获得 CT 时,需要评估的重要发现包括跗骨窦撞击、腓骨撞击、距下关节后关节面内翻增加和距下关节后关节面和/或中关节面半脱位。

证据等级

V 级,共识,专家意见。

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