MRI Evaluation of the MTP Plantar Plates Compared With Arthroscopic Findings

Nery, Caio; Coughlin, Michael J.; Baumfeld, Daniel; Mann, Tânia Szejnfeld; Yamada, André Fukunishi; Fernandes, Eloy A.

doi:10.1177/1071100712470918

Cited by 35 publications

(25 citation statements)

References 34 publications

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“…After a review of the abstract and full texts, seven trials matched the inclusion criteria [10, 11, 16–20]. Two reported US for plantar plate tear [16, 17], four reported MRI for plantar plate tear [10, 18–20], and one [11] reported both US and MRI for plantar plate tear. All seven included studies were published in journals.…”

Section: Resultsmentioning

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: Resultsmentioning

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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“…Chronic injury may also result in the development of an osteophyte at the dorsum of the first metatarsal head, which can cause hallux rigidus [16]. It is important to evaluate the chondral surfaces of the first MTP joint complex to assess for the presence of a chondral injury, which may affect management [9,10,15,[17][18][19].…”

Section: Mri Findingsmentioning

confidence: 98%

“…A different five-step grading scheme is based on the degree of capsular tearing seen at arthroscopy. Grade 0 represents attenuation of the plantar plate without a tear; grade 1 is a transverse tear of b50% of the plantar plate; grade 2 is a transverse distal tear of N50%; grade 3 is an extensive transverse and/ or longitudinal tear; and grade 4 is an extensive tear with a button hole defect [17]. To our knowledge, the degree of MRI correlation with these grading schemes has not been well established, and thus, caution is advised when implementing such classification systems based on MRI findings.…”

Section: Gradingmentioning

confidence: 99%

Turf toe and sesamoiditis: what the radiologist needs to know

et al. 2015

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“…1,2 Its role in the stability and balance of the MTPJ has been the subject of several studies. [2][3][4][5][6][7][8][9] Assessment of plantar plate injury relies on focused observation and targeted examination utilizing clinical signs and physical tests that strongly correlate with tear. 4 Imaging studies help grade the lesion and detect possible coexisting pathology.…”

mentioning

confidence: 99%

“…[5][6][7] A study in 2013 showed that familiarity with a specific anatomical grading system helps radiologists describe and classify plantar plate tears. 8 Although some studies have found MRI to be sensitive but poorly specific when compared with an arthroscopic gold standard, optimization of MRI technique can improve diagnostic accuracy. 6,9 Anatomy and Biomechanics…”

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confidence: 99%

Etiology, Clinical Assessment, and Surgical Repair of Plantar Plate Tears

Nery

Umans

Baumfeld

2016

Semin Musculoskelet Radiol

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The plantar plate has recently gained more attention as an important structure contributing to lesser metatarsophalangeal joint stability. This has prompted a significant growth of interest in the anatomy and biomechanics of the plantar plate and in the diagnosis and treatment of its injuries. Improved understanding of plantar plate function and predictable patterns of degeneration and failure has led to the development of a clinical staging and surgical grading system of plantar plate lesions. Relatively recent innovations allow the surgeon to access and repair plantar plate tears directly with reinsertion onto the base of the proximal phalanx. The addition of direct plantar plate repair represents a significant advance in the surgical restoration of alignment and functional stability of the lesser metatarsophalangeal joint.

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MRI Evaluation of the MTP Plantar Plates Compared With Arthroscopic Findings

Abstract: Level II, prospective comparative study.

Cited by 35 publications

References 34 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

Turf toe and sesamoiditis: what the radiologist needs to know

Etiology, Clinical Assessment, and Surgical Repair of Plantar Plate Tears

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