Flouroscopic Arthrography Versus MR Arthrography of the Lesser Metatarsophalangeal Joints for the Detection of Tears of the Plantar Plate and Joint Capsule

Mazzuca, James W.; Yonke, Bret; Downes, Jessica M.; Miner, Mark

doi:10.1177/1071100712467434

Cited by 13 publications

(2 citation statements)

References 11 publications

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“…Cadaveric studies have shown improved visualization of articular structures in the first and lesser MTPJs using dMRA compared with cMRI at 1.5 T [ 372 – 374 ]. Clinical studies have also suggested utility of dMRA for demonstrating capsular and plantar plate tears in the lesser MTPJs [ 375 – 377 ], though there is a paucity of head-to-head studies in comparison with cMRI. As there is often a joint effusion and/or synovitis present which provides most of the diagnostic benefits of dMRA without the invasive procedure [ 378 , 379 ], many authors emphasize high-quality cMRI exams with dedicated surface coils rather than dMRA [ 378 – 381 ].…”

Section: Hipmentioning

confidence: 99%

SSR white paper: guidelines for utilization and performance of direct MR arthrography

Chang,

Bencardino,

French

et al. 2023

Skeletal Radiol

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Objective Direct magnetic resonance arthrography (dMRA) is often considered the most accurate imaging modality for the evaluation of intra-articular structures, but utilization and performance vary widely without consensus. The purpose of this white paper is to develop consensus recommendations on behalf of the Society of Skeletal Radiology (SSR) based on published literature and expert opinion. Materials and methods The Standards and Guidelines Committee of the SSR identified guidelines for utilization and performance of dMRA as an important topic for study and invited all SSR members with expertise and interest to volunteer for the white paper panel. This panel was tasked with determining an outline, reviewing the relevant literature, preparing a written document summarizing the issues and controversies, and providing recommendations. Results Twelve SSR members with expertise in dMRA formed the ad hoc white paper authorship committee. The published literature on dMRA was reviewed and summarized, focusing on clinical indications, technical considerations, safety, imaging protocols, complications, controversies, and gaps in knowledge. Recommendations for the utilization and performance of dMRA in the shoulder, elbow, wrist, hip, knee, and ankle/foot regions were developed in group consensus. Conclusion Although direct MR arthrography has been previously used for a wide variety of clinical indications, the authorship panel recommends more selective application of this minimally invasive procedure. At present, direct MR arthrography remains an important procedure in the armamentarium of the musculoskeletal radiologist and is especially valuable when conventional MRI is indeterminant or results are discrepant with clinical evaluation.

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Section: Hipmentioning

confidence: 99%

SSR white paper: guidelines for utilization and performance of direct MR arthrography

Chang,

Bencardino,

French

et al. 2023

Skeletal Radiol

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show abstract

“…Although plain radiographs are usually sufficient to diagnose sesamoid fractures and dislocations, magnetic resonance imaging can aid assessment of the associated ligamentous, capsular, and plantar plate injuries which need surgical repair to avoid instability and postoperative pain [7] , [8] , [9] . Also MR arthrography claimed to be the best in identification of plantar plate and capsular tears of the first metatarsophalangeal joint [10] , [11] . Trikha et al reported a similar case of type one dislocation with failed closed reduction as the inersesamoid ligament was tense and required release of the deep transverse ligament [12] .…”

Section: Discussionmentioning

confidence: 99%