Diagnosis of Plantar Plate Injury by Magnetic Resonance Imaging with Reference to Intraoperative Findings

Sung, Wenjay; Weil, Lowell; Rolfes, Richard J.

doi:10.1053/j.jfas.2012.05.009

Cited by 57 publications

(20 citation statements)

References 22 publications

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“…MRI has been found both to be highly sensitive and to have specific modality for detecting of the plantar plate. In Sung’s study, MRI was found to have 96% accuracy, with 95% sensitivity, and 100% specificity [19]. In Klein’s study, MRI was found to be with 73.9% sensitivity and 100% specificity [10].…”

Section: Discussionmentioning

confidence: 99%

Role of magnetic resonance imaging versus ultrasound for detection of plantar plate tear

Duan

Wei³

et al. 2017

J Orthop Surg Res

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BackgroundPlantar plate tears could be the reason of forefoot pain, affecting foot function. Magnetic resonance imaging (MRI) and ultrasound (US) were commonly used for the diagnosis of plantar plate tears. The decision of whether to use MRI or US carried some controversy. Our study aimed to find out the diagnostic accuracy of MRI versus US for plantar plate tears.MethodsThe database of the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, EMBASE, and relative orthopedic meetings until May 2016 were searched. Studies involved in the diagnostic detection of MRI or ultrasound for plantar plate tears with surgical criteria as the reference test were included. Data was analyzed by meta-analysis. We compared sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and summary receiver operating characteristic (sROC) plot of both MRI and US.ResultsSeven studies involving 246 plantar plate tears were included. The MRI showed more diagnostic accuracy than US for the detection of plantar plate tears. The sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of MRI were 95%, 54%, 2.08, and 0.08, respectively, while the same values for US were 93%, 33%, 1.20, and 0.35, respectively. And the sROC showed more superior diagnostic accuracy than the US.ConclusionThe current result suggests that MRI has better accuracy than US for detection of plantar plate tears.

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Section: Discussionmentioning

confidence: 99%

Role of magnetic resonance imaging versus ultrasound for detection of plantar plate tear

Duan

Wei³

et al. 2017

J Orthop Surg Res

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“…This particular MR protocol was found to be 96% accurate with 95% sensitivity and 100% specificity with a positive predictive value of 100% and a negative predictive value of 67%. 7 Although MRI has clearly become a good imaging modality for the plantar plate, it is a costly exam that can be uncomfortable for the patient, particularly if an extremity coil or an open machine is not available. Therefore, musculoskeletal ultrasound has been investigated as a potential alternative for imaging when MRI is unavailable, medically contraindicated, too costly, or unacceptable to the patient.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 and MRIs are frequently ordered to assess this structure. However, MRI is a costly imaging modality.…”

Section: Abnormal Ultrasound Appearance Of the Plantar Platementioning

confidence: 99%

Musculoskeletal Ultrasound for Preoperative Imaging of the Plantar Plate

Klein

Weil

Knight

2013

Foot & Ankle Specialist

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The purpose of this study was to prospectively compare preoperative findings on musculoskeletal ultrasound evaluation to observed intraoperative findings for patients undergoing surgical correction of plantar plate tears. Fifty consecutive patients with forefoot pain and a suspected unilateral plantar plate tear at the second metatarsophalangeal (MTP) joint were identified. The same examiner performed a 2-plane (longitudinal and transverse) musculoskeletal ultrasound on the painful second MTP joint. The contralateral second MTP joint was used for comparison. Longitudinal ultrasound images were graded as "torn" or "intact." Transverse ultrasound images were used to localize the suspected pathology. Results of the ultrasound were compared with observed intraoperative pathology. Forty-five plantar plate tears were identified intraoperatively. Longitudinal ultrasound images correctly identified 40 plantar plate tears. The longitudinal ultrasound had a sensitivity of 91.1%, a specificity of 25%, a positive predictive value of 91.1%, and a negative predictive value of 25%. Transverse ultrasound images identified 36 plantar plate tears correctly localizing only 19 tears. Musculoskeletal ultrasound has been widely used to identify and localize pathology in many soft tissue structures. Whereas the longitudinal ultrasound images were useful in identifying plantar plate tears, the same cannot be said about the ability to localize the tear on the transverse ultrasound images. Therefore, ultrasound may not be as good an imaging modality as magnetic resonance imaging for identification and localization of plantar plate pathology.

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“…MRI is widely accepted as the imaging study of choice for diagnosis of plantar plate tears. In a prospective study, Sung et al [40] found high accuracy (96%), sensitivity (95%), specificity (100%), PPV (100%), and NPV (67%) for MRI with surgical correlation. In this study, moderate concordance was found between tear severity on MRI and surgery with greater concordance at higher severity.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Chronic Foot Pain

Tafur

Bencardino

Roberts

et al. 2020

Journal of the American College of Radiology

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Chronic foot pain is a frequent clinical complaint, which can significantly impact the quality of live in some individuals. These guidelines define best practices with regards to requisition of imaging studies based on specific clinical scenarios, which have been grouped into different variants. Each variant is accompanied by a brief description of the usefulness, advantages, and limitations of different imaging modalities. The present narrative is the result of an exhaustive assessment of the available literature and a thorough review process by a panel of experts on Musculoskeletal Imaging. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Diagnosis of Plantar Plate Injury by Magnetic Resonance Imaging with Reference to Intraoperative Findings

Cited by 57 publications

References 22 publications

Role of magnetic resonance imaging versus ultrasound for detection of plantar plate tear

Role of magnetic resonance imaging versus ultrasound for detection of plantar plate tear

Musculoskeletal Ultrasound for Preoperative Imaging of the Plantar Plate

ACR Appropriateness Criteria® Chronic Foot Pain

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