Methodology of functional multispiral computed tomography in the diagnosis of adult flatfoot

Ternovoy S. K., Serova N.S., Belyaev A.S., Bobrov D. S., Ternovoy K. S.

Purpose. To develop a method of functional multidetector computed tomography (fMDCT) of the foot and ankle to assess the changing relationship of the bones of the foot small joints in adults flat feet.	I.M. Sechenov First Moscow State Medical University. Moscow, Russia.

 

 

 

 

 

 

 

 

 

Materials and methods. The study included 38 patients (76 feet) with pain in the position of foot static support. Patients were performed the research of the ankle and foot with the load in the supine position in multidetector computed tomography Aquilion ONE 640 Toshiba. After the study the displacement of the bones of the foot were analyzed and measured. Results. The developed method fMDCT used for the diagnosis of flatfoot in adults, improves the accuracy and informativeness of diagnosis, in contrast to the classical load x-ray method, the use of which allows to evaluate only the height of the foot arch and do not provide estimates of changes in the talus-calcaneal-navicular joint, as well as a detailed as-sessment of the relationship of the metatarsal bones, diagnostic hummer deformation of the interphalangeal joints. This method was developed and implemented for the first time. Conclusions. fMDCT of the foot and ankle is a promising non-invasive method designed to determine the extent of changes in the foot joints with acquired flatfoot. The method allows the most accurate and detailed diagnosing different combinations of pathological changes in acquired flatfoot in adults, that gives an opportunity to correctly define the tactics of treat-ment and volume of surgical intervention in this pathology.

 

Keywords: acquired flat foot, a CT scan of the foot with load, flat feet in adults.

 

Corresponding author: Belyaev A.S., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: : Ternovoy S. K., Serova N.S., Belyaev A.S., Bobrov D. S., Ternovoy K. S. Methodology of functional multispiral computed tomography in the diagnosis of adult flatfoot. REJR. 2017; 7 (1):. DOI:10.21569/2222-7415-2016-6-4-38-43.

Received: 12.12.2016 Accepted: 30.01.2017