Transcription of Abnormalities of the Plantar Soft Tissues - …
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Abnormalities of the Plantar Soft Tissues - …
The Plantar soft Tissues Sabrina Covert February 28, 2008. Objectives 1) Review normal Plantar anatomy of the foot 2) Describe optimal technique for MR Imaging of the foot 3) Review the most common Abnormalities affecting the Plantar soft Tissues 4) Infection Anatomy - calcaneus L M. M L. Supporting structures - longitundinal arch Plantar fascia Long and short Plantar ligaments Spring ligament Tibialis posterior tendon Peroneus longus tendon Anatomy - Plantar fascia Radiographics. 2000;20:S181-S197. Plantar fascia AJR 2001; 176:97-104. Anatomy Plantar ligaments MRI Technique Extremity surface coil Small FOV (12 cm). Slight Plantar flexion T1 sequence in 1 plane Fluid sensitive sequence in all 3 planes Radiographics. 2000;20:S153-S179. Plantar fasciitis Inflammation of the Plantar fascia and perifascial structures Undersurface heel pain with weight bearing Etiology Mechanical: pes cavus, pronated foot Degenerative: heel pad atrophy, increase in foot pronation Systemic: RA, seronegatives Plantar fasciitis Plantar fasciitis MR Imaging T1 weighted Fluid sensitive Post Gad Thickened Edema in PA, Enhancement Plantar calcaneus, and usually present aponeurosis surrounding soft Tissues Plantar fasciitis 53 man with heel pain Plantar fasciitis 40 man with heel pain Plantar fasciitis Plantar fasciitis Treatment Conservative: Most often successful (rest, stretching & strengthening, orthotics, anti-inflammatories).
Take Home Points • When performing MRI of the foot, use a small FOV centered over the region of interest with a skin marker • Reactive non-tumoral lesions …
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MALIGNANT SOFT TISSUE LESIONS OF THE FOOT, Soft tissue, Foot, Malignant, Of the foot, Lesions, Document, FOOT AND MOUTH DISEASE, CPT coding resource: Lesion excision, HCPro, Medical Policy Medical Records Documentation, Medical Policy Medical Records Documentation Guidelines, Blue Cross Blue Shield of Texas