Polichetti Chiara, Borruto Maria Ilaria, Lauriero Francesco, Caravelli Silvio, Mosca Massimiliano, Maccauro Giulio, Greco Tommaso, Perisano Carlo
Orthopedics and Trauma Surgery Unit, Department of Ageing, Neurosciences, Head-Neck and Orthopedics Sciences, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Department of Radiological and Hematological Science, Section of Radiology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Diagnostics (Basel). 2023 Jan 7;13(2):225. doi: 10.3390/diagnostics13020225.
Adult acquired flatfoot deformity (AAFD) is a disorder caused by repetitive overloading, which leads to progressive posterior tibialis tendon (PTT) insufficiency. It mainly affects middle-aged women and occurs with foot pain, malalignment, and loss of function. After clinical examination, imaging plays a key role in the diagnosis and management of this pathology. Imaging allows confirmation of the diagnosis, monitoring of the disorder, outcome assessment and complication identification. Weight-bearing radiography of the foot and ankle are gold standard for the diagnosis of AAFD. Magnetic Resonance Imaging (MRI) is not routinely needed for the diagnosis; however, it can be used to evaluate the spring ligament and the degree of PTT damage which can help to guide surgical plans and management in patients with severe deformity. Ultrasonography (US) can be considered another helpful tool to evaluate the condition of the PTT and other soft-tissue structures. Computed Tomography (CT) provides enhanced, detailed visualization of the hindfoot, and it is useful both in the evaluation of bone abnormalities and in the accurate evaluation of measurements useful for diagnosis and post-surgical follow-up. Other state-of-the-art imaging examinations, like multiplanar weight-bearing imaging, are emerging as techniques for diagnosis and preoperative planning but are not yet standardized and their scope of application is not yet well defined. The aim of this review, performed through Pubmed and Web of Science databases, was to analyze the literature relating to the role of imaging in the diagnosis and treatment of AAFD.
成人获得性平足畸形（AAFD）是一种由重复性过度负荷引起的疾病，会导致胫后肌腱（PTT）进行性功能不全。它主要影响中年女性，表现为足部疼痛、排列不齐和功能丧失。临床检查后，影像学在该疾病的诊断和管理中起着关键作用。影像学可用于确诊、监测病情、评估预后及识别并发症。足踝负重X线摄影是诊断AAFD的金标准。磁共振成像（MRI）并非诊断所必需；然而，它可用于评估弹簧韧带及PTT损伤程度，有助于指导重度畸形患者的手术方案制定和管理。超声检查（US）可被视为评估PTT及其他软组织结构状况的另一有用工具。计算机断层扫描（CT）能增强并详细显示后足，在评估骨骼异常以及准确评估对诊断和术后随访有用的测量值方面均很有用。其他先进的影像学检查，如多平面负重成像，正逐渐成为诊断和术前规划的技术，但尚未标准化，其应用范围也尚未明确界定。本综述通过PubMed和科学网数据库进行，旨在分析影像学在AAFD诊断和治疗中作用的相关文献。
